Provider Demographics
NPI:1740171271
Name:ALRABADI, RANNA ISSAM (DMD)
Entity type:Individual
Prefix:DR
First Name:RANNA
Middle Name:ISSAM
Last Name:ALRABADI
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1603 EUREKA RD STE 200
Mailing Address - Street 2:
Mailing Address - City:ROSEVILLE
Mailing Address - State:CA
Mailing Address - Zip Code:95661-3028
Mailing Address - Country:US
Mailing Address - Phone:916-472-2524
Mailing Address - Fax:
Practice Address - Street 1:1603 EUREKA RD STE 200
Practice Address - Street 2:
Practice Address - City:ROSEVILLE
Practice Address - State:CA
Practice Address - Zip Code:95661-3028
Practice Address - Country:US
Practice Address - Phone:916-472-2524
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-07-12
Last Update Date:2025-07-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA111948122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist