Provider Demographics
NPI:1871703603
Name:RAHBE, NADER (PHARM D)
Entity type:Individual
Prefix:MR
First Name:NADER
Middle Name:
Last Name:RAHBE
Suffix:
Gender:M
Credentials:PHARM D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4897 HAMPSHIRE PL
Mailing Address - Street 2:
Mailing Address - City:HIXSON
Mailing Address - State:TN
Mailing Address - Zip Code:37343-4075
Mailing Address - Country:US
Mailing Address - Phone:423-870-7700
Mailing Address - Fax:
Practice Address - Street 1:4434 HIGHWAY 58
Practice Address - Street 2:
Practice Address - City:CHATTANOOGA
Practice Address - State:TN
Practice Address - Zip Code:37416-3007
Practice Address - Country:US
Practice Address - Phone:423-894-3662
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-23
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN11973183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist