DR. M.TAGHI RAJABIUN M.D. NPI 1003873134

Surgery (Vascular Surgery) in North Providence, RI

About M.TAGHI RAJABIUN

M.taghi Rajabiun is a provider in North Providence, RI. The NPI number assigned to this provider is 1003873134. The practitioner's primary taxonomy code is Surgery (2086S0129X). The provider is registered as an individual and their NPI record was last updated 7 years ago.

NPI1003873134 Additional informationCallout TooltipNational Provider Indentifier (NPI)
The 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.
Provider NameDR. M.TAGHI RAJABIUN M.D.
Provider Location Address259 HIGH SERVICE AVE NORTH PROVIDENCE, RI 02904 Additional informationCallout TooltipProvider location address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.
Provider Mailing Address259 HIGH SERVICE AVE NORTH PROVIDENCE, RI 02904 Additional informationCallout TooltipProvider mailing address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.
GenderMale
NPI Entity TypeIndividual Additional informationCallout TooltipEntity type code
The code describing the type of health care provider that is being assigned an NPI.
Codes are:
1 = (Person): individual human being who furnishes health care;
2 = (Non-person): entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO).
Is Sole Proprietor?No
Is Organization Subpart?N/A Additional informationCallout TooltipWhat is a subpart?
Subparts are the components and separate physical locations of organization health care providers. Examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.
Enumeration Date05-01-2006 Additional informationCallout TooltipProvider enumeration date
The date the provider was assigned a unique identifier (assigned an NPI)
Last Update Date05-12-2011 Additional informationCallout TooltipLast update date
The date that a record was last updated or changed.

Business Address

DR. M.TAGHI RAJABIUN M.D.
259 HIGH SERVICE AVE
NORTH PROVIDENCE, RI
ZIP 02904
Phone: (401) 353-6800
Fax: (401) 353-9607
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Mailing Address

DR. M.TAGHI RAJABIUN M.D.
259 HIGH SERVICE AVE
NORTH PROVIDENCE, RI
ZIP 02904
Phone: (401) 353-6800
Fax: (401) 353-9607

Primary Taxonomy

Taxonomy Code2086S0129X Additional informationCallout TooltipPrimary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
ClassificationSurgery
TypeAllopathic & Osteopathic Physicians
SpecializationVascular Surgery
License No.4041
License StateRI
Taxonomy DescriptionA surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.

Secondary Taxonomies


The secondary taxonomy codes define the provider type, classification, and specialization. For individual NPIs the license data is associated to each taxonomy code.

No. Taxonomy Code Type Classification Specialization License No. State Primary
1208G00000XAllopathic & Osteopathic PhysiciansThoracic Surgery (Cardiothoracic Vascular Surgery)RI4041RINo

Taxonomy Description: a thoracic surgeon provides the operative, perioperative and critical care of patients with pathologic conditions within the chest. Included is the surgical care of coronary artery disease, cancers of the lung, esophagus and chest wall, abnormalities of the trachea, abnormalities of the great vessels and heart valves, congenital anomalies, tumors of the mediastinum and diseases of the diaphragm. The management of the airway and injuries of the chest is within the scope of the specialty.

Additional Identifiers


Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State
C90225MEDICARE UPIN (02)RI
339022244MEDICARE ID-TYPE UNSPECIFIED (04)RI

Map Location


DR. M.TAGHI RAJABIUN M.D. address is 259 HIGH SERVICE AVE NORTH PROVIDENCE, RI 02904

Other Providers at the same location


The following provider is registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1093172298M.TAGHI RAJABIUN, M.D. INC.
Organization
Surgery (Vascular Surgery)259 HIGH SERVICE AVE
NORTH PROVIDENCE, RI 02904
(401) 353-6800