Elkoustaf, Rachid
Elkoustaf, Rachid is an individual health care provider with primary practice located at 111 Marys Ave Suite 3, Kingston NY 12401-5852. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Nuclear Cardiology, Allopathic & Osteopathic Physicians / Cardiovascular Disease. Allopathic & Osteopathic Physicians / Cardiovascular Disease is his primary health care specialty. Elkoustaf, Rachid can be contacted via phone (845) 339-3663.Contact Information
Primary practice address
111 Marys Ave Suite 3
Kingston NY 12401-5852
Phone: (845) 339-3663
Fax: (845) 339-3629
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Nuclear Cardiology | 207UN0901X | 244744 | New York |
| Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | 102692 | Minnesota |
Profile Details
| NPI number | 1790865764 |
|---|---|
| LBN Legal business name | Elkoustaf, Rachid |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 16th, 2006 |
| Last updated | Dec 8th, 2021 - about 4 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1790865764 | NPPES |
| New York | Other | 4RR92NW001 | MEDICARE - DOWNSTATE |
| New York | MEDICAID | 02890857 | MEDICARE - DOWNSTATE |
| New York | Other | RB5458 | MEDICARE - DOWNSTATE |
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