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

Raed A Wahab, MD

Individual provider Pulmonary Disease Physician · NPI 1285841437

Raed A Wahab, MD is a Critical Care (Intensivists) in Modesto, California. Qualified in 2000, 26 years ago. Practices with Martin Luther King Jr Community Medical Foundation, a 191-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in California, Pennsylvania, Washington and Wisconsin.

Years since qualifying
26
Licensed in
CA, PA, WA, WI
In the registry since
2007
Specialties on file
5
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

600 Coffee Rd
Modesto, CA 95355-4201
Phone: (209) 569-7408
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1708 Yakima Ave Ste 300, Tacoma, WA 98405-5309 — (253) 363-8700

Specialties & licences

Pulmonary Disease Physician (primary) Taxonomy 207RP1001X · Licence C161771 (CA)
Pulmonary Disease Physician Taxonomy 207RP1001X · Licence MD60740424 (WA)
Critical Care Medicine (Internal Medicine) Physician Taxonomy 207RC0200X · Licence MD60740424 (WA)
Pulmonary Disease Physician Taxonomy 207RP1001X · Licence MD434123 (PA)
Pulmonary Disease Physician Taxonomy 207RP1001X · Licence 69074 (WI)

Record details

NPI number1285841437
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMay 17, 2007
Last updated in NPPESMay 30, 2024
Certification dateMay 30, 2024
Mailing addressPo Box 255228, Sacramento, CA 95865-5228

Medicare enrollment

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

Medicare specialtyCRITICAL CARE (INTENSIVISTS)
Also practisesPULMONARY DISEASE
Medical schoolOTHER
Graduated 2000 (26 years in practice)
Group practice Martin Luther King Jr Community Medical Foundation — 191 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

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