Healthcare Provider Details

I. General information

NPI: 1083608426
Provider Name (Legal Business Name): RACHID DAOUI M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/31/2005
Last Update Date: 09/09/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6 CARE LANE
SARATOGA SPRINGS NY
12866-8624
US

IV. Provider business mailing address

6 CARE LANE
SARATOGA SPRINGS NY
12866-8624
US

V. Phone/Fax

Practice location:
  • Phone: 518-581-1415
  • Fax: 518-583-8796
Mailing address:
  • Phone: 518-581-1415
  • Fax: 518-583-8796

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number229355
License Number StateNY
# 2
Primary TaxonomyN
Taxonomy Code207RN0300X
TaxonomyNephrology Physician
License Number229355
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: