Healthcare Provider Details

I. General information

NPI: 1952382558
Provider Name (Legal Business Name): RAYMOND B KHAWAND MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/10/2005
Last Update Date: 12/22/2025
Certification Date: 12/22/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

851 MIDDLE ST
FALL RIVER MA
02721-1778
US

IV. Provider business mailing address

851 MIDDLE ST
FALL RIVER MA
02721-1778
US

V. Phone/Fax

Practice location:
  • Phone: 508-235-5229
  • Fax: 508-235-5106
Mailing address:
  • Phone: 508-235-5229
  • Fax: 508-235-5106

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207PE0004X
TaxonomyEmergency Medical Services (Emergency Medicine) Physician
License Number48760
License Number StateMA
# 2
Primary TaxonomyN
Taxonomy Code207P00000X
TaxonomyEmergency Medicine Physician
License Number048760
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: