MEDICARE: DR. RAED F TARAZI M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	208C00000X	Colon & Rectal Surgery Physician	1024634	MA
2	208600000X	Surgery Physician	34222	AZ

General Provider Information

NPI Number	:	1477550622
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. RAED F TARAZI M.D.

Provider Business Mailing Address
First Line	:	PO BOX 4023
Second Line	:
City	:	SCOTTSDALE
State	:	AZ
Zip	:	85261-4023
Country	:	US
Telephone Number	:	480-835-5302
Fax Number	:	480-844-2081

Provider Business Practice Location Address
First Line	:	40 WRIGHT ST
Second Line	:
City	:	PALMER
State	:	MA
Zip	:	01069-1138
Country	:	US
Telephone Number	:	413-370-5400
Fax Number	:	413-284-5559

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/01/2005
Last Update Date	:	10/15/2025

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