DR. KENAN RODWAN RAJJOUB MD
NPI 1245859065
Student in an Organized Health Care Education/Training Program in Buffalo, NY
About Dr. Kenan Rodwan Rajjoub Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. KENAN RODWAN RAJJOUB MD (NPI 1245859065) is an individual student in an organized health care education/training program in Buffalo, New York and active in the NPI registry since April 2020. 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)
Dr. Kenan Rodwan Rajjoub 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.
BUFFALO, NY 14203
BUFFALO, NY 14203
BUFFALO, NY 14203
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 Kenan Rajjoub's NPI number?
The NPI number for Kenan Rajjoub is 1245859065. It was assigned to this individual provider in the NPPES registry on April 12, 2020.
Where is Kenan Rajjoub located?
Kenan Rajjoub practices at 100 High St, Buffalo, NY 14203. The listed phone number is (716) 859-5600.
What is Kenan Rajjoub's specialty?
The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.
Is Kenan Rajjoub enrolled in Medicare?
Yes. Kenan Rajjoub is registered in the Medicare PECOS enrollment system.
When was this NPI record last updated?
The NPPES record for Kenan Rajjoub was last updated on April 12, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years 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.
# Dr. Kenan Rodwan Rajjoub, MD · NPI 1245859065
Student in an Organized Health Care Education/Training Program provider in Buffalo, New York. Individual provider, active in the CMS NPPES registry since April 12, 2020.
## Identity
- **NPI:** 1245859065 (Entity type: Individual)
- **Enumerated:** April 12, 2020
- **Primary specialty:** Student in an Organized Health Care Education/Training Program · taxonomy 390200000X
- **Sole proprietor:** No
## Practice location
- **Address:** 100 HIGH ST, Buffalo, NY 14203-1126
- **Phone:** (716) 859-5600
## 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 12, 2020
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Source: [NPI Profile](https://npiprofile.com/npi/1245859065) · Data from the CMS NPPES public registry.