Active NPIIndividual provider

Abdulraouf G Ghandour, MD

Family Medicine in Sutton, Massachusetts

NPI Number1629276803
Practice location
188 Worcester Providence Tpke, Sutton, MA 01590-1908
Fax
508-865-3822
Last updated
December 1, 2020

Abdulraouf G. Ghandour is a Family Medicine based in Sutton, MA. Abdulraouf G. Ghandour practices in Sutton, MA and has the professional credentials of MD. The NPI Number for Abdulraouf G. Ghandour is 1629276803 and holds a License No. 251361 (MA). The current practice location address for Abdulraouf G. Ghandour is 188 Worcester Providence Tpke, Sutton, MA 01590-1908 and can be reached out via phone at 508-865-3650 and via fax at 508-865-3822.

Provider Profile Details

NPI Number
1629276803
Provider Name
Abdulraouf G. Ghandour
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
188 Worcester Providence Tpke, Sutton, MA 01590-1908
Phone Number
508-865-3650
Fax Number
508-865-3822
Primary Taxonomy
Family Medicine · 207Q00000X
Sole Proprietor
No
Provider Enumeration Date
July 10, 2007
Last Update Date
December 1, 2020
Certification Date
December 1, 2020
NPI Status
Active

Provider Business Practice Location Address Details

Address
188 Worcester Providence Tpke
Sutton, MA 01590-1908
City
Sutton
Zip
01590-1908
Phone Number
508-865-3650
Fax Number
508-865-3822
Sutton, MA 01590Get directions →

Provider Business Mailing Address Details

Address
Po Box 415348
Boston, MA 02241-5348
City
Boston
State
MA
Zip
02241-5348
Phone Number
800-225-8885
Fax Number
508-334-1977

License Information

License Number (1)
251361
License State (1)
MA
Taxonomy (1)
Family Medicine, Geriatric Medicine · 207QG0300X
License Number (2)
251361
License State (2)
MA
Taxonomy (2)
Family Medicine · 207Q00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Abdulraouf G Ghandour, MD?

The NPI number of Abdulraouf G Ghandour, MD is 1629276803. It was assigned on July 10, 2007 and is currently active in the NPPES registry.

What is the specialty of Abdulraouf G Ghandour, MD?

Abdulraouf G Ghandour, MD is registered under the primary taxonomy Family Medicine (code 207Q00000X), licensed in MA under license number 251361.

Where does Abdulraouf G Ghandour, MD practice?

The practice location is 188 Worcester Providence Tpke, Sutton, MA 01590-1908. The office can be reached at 508-865-3650 (phone) or 508-865-3822 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1629276803 directly on the NPPES registry website.

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