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NPI Code Detail

MEDICARE: DR. RACHID RYAN MACWAR M.D

MEDICARE:  DR. RACHID RYAN MACWAR  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
1207R00000XInternal Medicine Physician4301086793MI
2207RC0000XCardiovascular Disease PhysicianP0088TX
3207RC0000XCardiovascular Disease Physician036128441IL
4207RC0000XCardiovascular Disease PhysicianME128347FL

Other Identifiers

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

General Provider Information

NPI Number : 1952510729
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. RACHID RYAN MACWAR M.D
Provider Business Mailing Address
First Line : 1370 E VENICE AVE STE 102
Second Line :
City : VENICE
State : FL
Zip : 34285-9083
Country : US
Telephone Number : 941-412-0026
Fax Number : 941-412-0027
Provider Business Practice Location Address
First Line : 1370 E VENICE AVE STE 102
Second Line :
City : VENICE
State : FL
Zip : 34285-9083
Country : US
Telephone Number : 941-412-0026
Fax Number : 941-412-0027
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/21/2007
Last Update Date : 09/04/2024

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Directions to “ DR. RACHID RYAN MACWAR M.D” Practice Location

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