Most Relevant Information
Provider Data
| NPI Number: | 1003547035 |
| Provider Name: | ABDULRAHMAN AL KOTOB M.D. |
| Entity Type: | Individual |
| Taxonomy Code: | 390200000X |
| Specialty: | Student in an Organized Health Care Education/Training Program |
| License Number: |
Most Important Dates
| Enumeration Date: | 06/21/2022 |
| Last Updated: | 05/18/2023 |
Provider Practice Location
GENGRAS CLINIC AT ST. FRANCES HOSPITAL
1000 ASYLUM AVENUE, SUITE 1004
HARTFORD
CT
06105
Practice Location Phone/Fax
| Phone: | 8607144632 |
| Fax: | 8607148275 |
Provider Mailing Location
GENGRAS CLINIC AT ST. FRANCES HOSPITAL
1000 ASYLUM AVENUE, SUITE 1004
HARTFORD
CT
06105
Provider Mailing Phone/Fax
| Phone: | 8607144632 |
| Fax: | 8607148275 |