Basic Information
| Provider Information | |||||||||
| NPI: | 1083608426 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | DAOUI | ||||||||
| FirstName: | RACHID | ||||||||
| MiddleName: | |||||||||
| NamePrefix: | DR. | ||||||||
| NameSuffix: | |||||||||
| Credential: | M.D. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 6 CARE LANE | ||||||||
| Address2: | |||||||||
| City: | SARATOGA SPRINGS | ||||||||
| State: | NY | ||||||||
| PostalCode: | 128668624 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5185811415 | ||||||||
| FaxNumber: | 5185838796 | ||||||||
| Practice Location | |||||||||
| Address1: | 6 CARE LANE | ||||||||
| Address2: | |||||||||
| City: | SARATOGA SPRINGS | ||||||||
| State: | NY | ||||||||
| PostalCode: | 128668624 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5185811415 | ||||||||
| FaxNumber: | 5185838796 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 08/31/2005 | ||||||||
| LastUpdateDate: | 09/09/2015 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | Y | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207R00000X | 229355 | NY | Y | Allopathic & Osteopathic Physicians | Internal Medicine | 207RN0300X | 229355 | NY | N | Allopathic & Osteopathic Physicians | Internal Medicine | Nephrology |
ID Information
| ID | Type | State | Issuer | Description | 02431363 | 05 | NY | MEDICAID | P00339040 | 01 | NY | RAILROAD MEDICARE | OTHER |