Active NPI
M.Taghi Rajabiun, M.D.
- Vascular Surgery Physician
- North Providence, RI
National Provider Identifier
1003873134
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Vascular Surgery Physician
- License
- 4041
- Practice address
- 259 High Service Ave
North Providence, RI 02904-5135 - Phone
- (401) 353-6800
- Fax
- (401) 353-9607
- NPI assigned
- May 1, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Vascular Surgery Physician | 2086S0129X | 4041 | RI | Primary |
| Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician | 208G00000X | RI4041 | RI |
Addresses
Primary practice location
259 High Service Ave
North Providence, RI 02904-5135
Mailing address
259 High Service Ave
North Providence, RI 02904-5135
Phone (401) 353-6800
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4041 | RI | MD | Vascular Surgery Physician |
| RI4041 | RI | MD | Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1146441600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1305158400000",
"number": "1003873134",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "259 HIGH SERVICE AVE",
"city": "NORTH PROVIDENCE",
"state": "RI",
"postal_code": "029045135",
"telephone_number": "401-353-6800",
"fax_number": "401-353-9607"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "259 HIGH SERVICE AVE",
"city": "NORTH PROVIDENCE",
"state": "RI",
"postal_code": "029045135",
"telephone_number": "401-353-6800",
"fax_number": "401-353-9607"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RAJABIUN",
"first_name": "M.TAGHI",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-01",
"last_updated": "2011-05-12",
"status": "A"
},
"taxonomies": [
{
"code": "2086S0129X",
"taxonomy_group": "",
"desc": "Surgery, Vascular Surgery",
"state": "RI",
"license": "4041",
"primary": true
},
{
"code": "208G00000X",
"taxonomy_group": "",
"desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
"state": "RI",
"license": "RI4041",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in North Providence, RI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.