Provider Demographics
NPI:1043438898
Name:RABINOVICH, KATRINA (MD)
Entity type:Individual
Prefix:DR
First Name:KATRINA
Middle Name:
Last Name:RABINOVICH
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:YEKATERINA
Other - Middle Name:
Other - Last Name:RABINOVICH
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:5757 COLLINS AVE APT 2106
Mailing Address - Street 2:
Mailing Address - City:MIAMI BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33140-2309
Mailing Address - Country:US
Mailing Address - Phone:901-299-6469
Mailing Address - Fax:
Practice Address - Street 1:4300 ALTON RD
Practice Address - Street 2:
Practice Address - City:MIAMI BEACH
Practice Address - State:FL
Practice Address - Zip Code:33140-2800
Practice Address - Country:US
Practice Address - Phone:305-535-3363
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-24
Last Update Date:2013-07-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME1056292085R0202X
ARE5128390200000X
MA390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program