Provider Demographics
NPI:1679729180
Name:RABKIN, RALPH (MD, MBCHB)
Entity type:Individual
Prefix:DR
First Name:RALPH
Middle Name:
Last Name:RABKIN
Suffix:
Gender:M
Credentials:MD, MBCHB
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3801 MIRANDA AVE
Mailing Address - Street 2:IIIR
Mailing Address - City:PALO ALTO
Mailing Address - State:CA
Mailing Address - Zip Code:94304-1207
Mailing Address - Country:US
Mailing Address - Phone:650-858-3985
Mailing Address - Fax:650-849-0213
Practice Address - Street 1:3801 MIRANDA AVE
Practice Address - Street 2:IIIR
Practice Address - City:PALO ALTO
Practice Address - State:CA
Practice Address - Zip Code:94304-1207
Practice Address - Country:US
Practice Address - Phone:650-858-3985
Practice Address - Fax:650-849-0213
Is Sole Proprietor?:No
Enumeration Date:2008-08-15
Last Update Date:2008-08-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA33002207RN0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrology