Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2086S0129X | Vascular Surgeon | 4041 | RI |
N | 208G00000X | Cardiothoracic Vascular Surgeon | RI4041 | RI |
NPI | 1003873134 |
---|---|
Provider Name | Dr. M.taghi Rajabiun |
First Address | North Providence, RI 02904-5135 |
Second Address | North Providence, RI 02904-5135 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 01/05/2006 |
Last Update Date | 12/05/2011 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
C90225 | (02) | RI |