Provider Demographics
NPI:1447275177
Name:ALRABADY, MAJDI I (DDSBDS)
Entity type:Individual
Prefix:DR
First Name:MAJDI
Middle Name:I
Last Name:ALRABADY
Suffix:
Gender:M
Credentials:DDSBDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6390 YORK RD
Mailing Address - Street 2:
Mailing Address - City:PARMA HEIGHTS
Mailing Address - State:OH
Mailing Address - Zip Code:44130-3028
Mailing Address - Country:US
Mailing Address - Phone:440-884-2424
Mailing Address - Fax:440-884-3828
Practice Address - Street 1:6390 YORK RD
Practice Address - Street 2:
Practice Address - City:PARMA HEIGHTS
Practice Address - State:OH
Practice Address - Zip Code:44130-3028
Practice Address - Country:US
Practice Address - Phone:440-884-2424
Practice Address - Fax:440-884-3828
Is Sole Proprietor?:No
Enumeration Date:2006-07-13
Last Update Date:2014-08-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH217381223G0001X, 1223X0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice
No1223X0400XDental ProvidersDentistOrthodontics and Dentofacial Orthopedics
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH2627590Medicaid