MEDICARE: RAWYA S BASKHAROUN MD

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	207R00000X	Internal Medicine Physician	184170	NY
2	207RC0000X	Cardiovascular Disease Physician	184170	NY

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1790737500
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	RAWYA S BASKHAROUN MD

Provider Business Mailing Address
First Line	:	PO BOX 130
Second Line	:
City	:	ALBERTSON
State	:	NY
Zip	:	11507-0130
Country	:	US
Telephone Number	:	718-833-7063
Fax Number	:	718-833-2158

Provider Business Practice Location Address
First Line	:	7510 4TH AVE
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11209-3244
Country	:	US
Telephone Number	:	718-833-7063
Fax Number	:	718-833-2158

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

Provider Enumeration Date	:	05/17/2006
Last Update Date	:	05/31/2026

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Directions to “ RAWYA S BASKHAROUN MD” Practice Location

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