RACHAN GHANDOUR MD
NPI 1073308227
Student in an Organized Health Care Education/Training Program in Detroit, MI
About Rachan Ghandour Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
RACHAN GHANDOUR MD (NPI 1073308227) is an individual student in an organized health care education/training program in Detroit, Michigan and active in the NPI registry since April 2025. He is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Rachan Ghandour Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Rachan Ghandour's NPI number?
The NPI number for Rachan Ghandour is 1073308227. It was assigned to this individual provider in the NPPES registry on April 10, 2025.
Where is Rachan Ghandour located?
Rachan Ghandour practices at 3990 John R St, Detroit, MI 48201. The listed phone number is (313) 745-3000.
What is Rachan Ghandour's specialty?
The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.
Is Rachan Ghandour enrolled in Medicare?
Yes. Rachan Ghandour is registered in the Medicare PECOS enrollment system.
When was this NPI record last updated?
The NPPES record for Rachan Ghandour was last updated on April 14, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Rachan Ghandour, MD · NPI 1073308227
Student in an Organized Health Care Education/Training Program provider in Detroit, Michigan. Individual provider, active in the CMS NPPES registry since April 10, 2025.
## Identity
- **NPI:** 1073308227 (Entity type: Individual)
- **Enumerated:** April 10, 2025
- **Primary specialty:** Student in an Organized Health Care Education/Training Program · taxonomy 390200000X
- **Sole proprietor:** No
## Practice location
- **Address:** 3990 JOHN R ST, Detroit, MI 48201-2018
- **Phone:** (313) 745-3000
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
## Record status
- **NPPES last updated:** April 14, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1073308227) · Data from the CMS NPPES public registry.