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Contact Information

ABDULRAOUF G GHANDOUR, MD
188 WORCESTER PROVIDENCE TPKE
SUTTON, MA01590-1908
 Phone: 508-865-3650
 Fax: 508-865-3822
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Family Medicine

207Q00000X 08 Physician/Family Practice
 

Geriatric Medicine

207QG0300X 08 Physician/Family Practice
Indicates primary specialty

NPI Profile & details for ABDULRAOUF G GHANDOUR · (Male)

NPI # 1629276803
Status Active
Credentials MD
Entity Individual
Enumeration date 07/10/2007
Last updated 12/01/2020 - About 6 years ago
Sole proprietor 1 No
Identifiers
  • MA License # 251361
  • MA Medicaid 110095423A
Hospital affiliation(s)
  • HARRINGTON MEMORIAL HOSPITAL - (Acute Care)
    100 SOUTH STREET
    SOUTHBRIDGE, MA 01550
  • MILFORD REGIONAL MEDICAL CENTER - (Acute Care)
    14 PROSPECT STREET
    MILFORD, MA 01757
  • UMASS MEMORIAL MEDICAL CENTER INC - (Acute Care)
    55 LAKE AVENUE NORTH
    WORCESTER, MA 01655
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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