Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Rahotep Annu Alkebulan, MD, MPH

Individual provider Family Medicine Physician · NPI 1407430556

Dr. Rahotep Annu Alkebulan, MD, MPH is a Family Practice in Jacksonville, Florida. Graduated from Wayne State University School of Medicine in 2021, 5 years ago. Practices with Baptist Primary Care Inc, a 457-clinician group and accepts Medicare assignment. Licensed in Arizona and Florida.

Years since qualifying
5
Trained at
Wayne State University School of Medicine
Licensed in
AZ, FL
In the registry since
2021
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.
MPH — Master of Public Health
A graduate degree in population health.

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Practice location Address checks out

810 Lane Ave S
Jacksonville, FL 32205-4785
Phone: (904) 783-9680
Fax: (904) 390-7464
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence ME168914 (FL)
Family Medicine Physician Taxonomy 207Q00000X · Licence R78552 (AZ)

Record details

NPI number1407430556
Entity typeIndividual (Type 1)
GenderMale
Credentials MD , MPH
Sole proprietorYes
NPI enumeratedMay 5, 2021
Last updated in NPPESJuly 31, 2024
Certification dateJuly 31, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyFAMILY PRACTICE
Medical schoolWAYNE STATE UNIVERSITY SCHOOL OF MEDICINE
Graduated 2021 (5 years in practice)
Group practice Baptist Primary Care Inc — 457 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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