DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: JORDAN BENJAMIN RAHEB

MEDICARE: JORDAN BENJAMIN RAHEB
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
1363A00000XPhysician Assistant
2363A00000XPhysician AssistantPA001176RI

General Provider Information

NPI Number : 1821650136
Entity Type Code : Individual
Provider Name (Legal Business Name) : JORDAN BENJAMIN RAHEB
Provider Business Mailing Address
First Line : 12 CHRISTOPHER DR
Second Line :
City : LINCOLN
State : RI
Zip : 02865-4945
Country : US
Telephone Number : 401-257-9069
Fax Number :
Provider Business Practice Location Address
First Line : 2140 MENDON RD
Second Line :
City : CUMBERLAND
State : RI
Zip : 02864-3843
Country : US
Telephone Number : 401-642-2072
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/08/2019
Last Update Date : 09/04/2019

Similar Medicare Providers

1275350696 — SARAH LOUISE SHAW NP
Practice Location Address:
2140 MENDON RD
CUMBERLAND, RI
02864-3843
Practice Phone: 401-642-2072
Practice Fax:
1184690299 — DR. GINA GERARDINE LA PROVA MD
Practice Location Address:
2140 MENDON RD
CUMBERLAND, RI
02864-3843
Practice Phone: 401-642-2072
Practice Fax: 401-305-3958
1275971400 — OCEAN STATE URGENT CARE CENTER OF CUMBERLAND, LLC
Practice Location Address:
2140 MENDON RD
CUMBERLAND, RI
02864-3843
Practice Phone: 401-334-9630
Practice Fax: 401-334-0563
1508241795 — OCEAN STATE URGENT CARE
Practice Location Address:
2140 MENDON RD
CUMBERLAND, RI
02864-3843
Practice Phone: 401-642-2072
Practice Fax:
1417332685 — NATASHA R ALMEIDA PA-C
Practice Location Address:
2140 MENDON RD
CUMBERLAND, RI
02864-3843
Practice Phone: 401-821-6800
Practice Fax: 401-821-8513
1164387478 — MR. HUNTER SHAW
Practice Location Address:
38 PLANT ST
CUMBERLAND, RI
02864-1911
Practice Phone: 401-585-8899
Practice Fax:

Directions to “ JORDAN BENJAMIN RAHEB ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.