Wahab, Raed A

Wahab, Raed A is an individual health care provider with primary practice located at 600 Coffee Rd , Modesto CA 95355-4201. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pulmonary Disease, Allopathic & Osteopathic Physicians / Critical Care Medicine. Allopathic & Osteopathic Physicians / Pulmonary Disease is his primary health care specialty. Wahab, Raed A can be contacted via phone (209) 569-7408.

Contact Information

Primary practice address
600 Coffee Rd Modesto CA 95355-4201
Phone: (209) 569-7408
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pulmonary Disease 207RP1001X MD60740424 Washington
Allopathic & Osteopathic Physicians / Pulmonary Disease 207RP1001X C161771 California
Allopathic & Osteopathic Physicians / Critical Care Medicine 207RC0200X MD60740424 Washington
Allopathic & Osteopathic Physicians / Pulmonary Disease 207RP1001X MD434123 Pennsylvania
Allopathic & Osteopathic Physicians / Pulmonary Disease 207RP1001X 69074 Wisconsin

Profile Details

NPI number 1285841437
LBN Legal business name Wahab, Raed A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 17th, 2007
Last updated May 30th, 2024 - about 2 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 1285841437 NPPES
Washington MEDICAID 2042827

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