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

Ebla Abd Alrahman

Individual provider Pediatrics Physician · NPI 1255966743

Ebla Abd Alrahman is a Pediatrics Physician in Worcester, Massachusetts. Licensed in Connecticut and Massachusetts. Registered with an NPI since 2020.

Licensed in
CT, MA
In the registry since
2020
Specialties on file
2

Practice location Address checks out

55 Lake Ave N
Worcester, MA 01655-0002
Phone: (774) 442-6087
Fax: (774) 442-6060
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X · Licence 1019360 (MA)
Pediatrics Physician Taxonomy 208000000X · Licence 70740 (CT)

Record details

NPI number1255966743
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMarch 5, 2020
Last updated in NPPESOctober 1, 2024
Certification dateOctober 1, 2024
Mailing addressPo Box 415348, Boston, MA 02241-5348

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