Ghandour, Abdulraouf G.

Ghandour, Abdulraouf G. is an individual health care provider with primary practice located at 188 Worcester Providence Tpke , Sutton MA 01590-1908. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Geriatric Medicine, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Family Medicine is his primary health care specialty. Ghandour, Abdulraouf G. can be contacted via phone (508) 865-3650.

Contact Information

Primary practice address
188 Worcester Providence Tpke Sutton MA 01590-1908
Phone: (508) 865-3650
Fax: (508) 865-3822
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Geriatric Medicine 207QG0300X 251361 Massachusetts
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 251361 Massachusetts

Profile Details

NPI number 1629276803
LBN Legal business name Ghandour, Abdulraouf G.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 10th, 2007
Last updated Dec 1st, 2020 - about 6 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1629276803 NPPES
Massachusetts MEDICAID 110095423A

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