Rabago, Michael T

Rabago, Michael T is an individual health care provider with primary practice located at 2940 E Banner Gateway Dr Ste 200-250 , Gilbert AZ 85234-2168. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Surgical, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is his primary health care specialty. Rabago, Michael T can be contacted via phone (480) 964-2908.

Contact Information

Primary practice address
2940 E Banner Gateway Dr Ste 200-250 Gilbert AZ 85234-2168
Phone: (480) 964-2908
Fax: (480) 833-2136
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X 3619 Arizona
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 3619 Arizona

Profile Details

NPI number 1336273721
LBN Legal business name Rabago, Michael T
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 15th, 2007
Last updated Jul 29th, 2022 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1336273721 NPPES
Arizona MEDICAID 203096

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