Dr. Ghazi Accaoui, M.D. Inc.

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

03860 Issued in RI

Legal business name

DR. GHAZI ACCAOUI, M.D. INC.

Practice address

124 Broad Street.
Pawtucket, RI 02860-2052

Phone

(401) 729-6000

Fax

(401) 312-2929

NPI assigned

Sep 23, 2010

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Ghazi Accaoui, M.D.

Title

President

Phone

(401) 729-6000

Specialties & licenses 2

Addresses

Other names 1

• D/B/A Injury Rehabilitation Center. Doing business as

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1285200000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1285200000000",
    "number": "1104134154",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "124 BROAD STREET.",
            "city": "PAWTUCKET",
            "state": "RI",
            "postal_code": "028602052",
            "telephone_number": "401-729-6000",
            "fax_number": "401-312-2929"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "124 BROAD STREET.",
            "city": "PAWTUCKET",
            "state": "RI",
            "postal_code": "028602052",
            "telephone_number": "401-729-6000",
            "fax_number": "401-312-2929"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. GHAZI ACCAOUI, M.D. INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-23",
        "last_updated": "2010-09-23",
        "status": "A",
        "authorized_official_last_name": "ACCAOUI",
        "authorized_official_first_name": "GHAZI",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "401-729-6000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "General Practice",
            "state": "RI",
            "license": "03860",
            "primary": true
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "General Practice",
            "state": "RI",
            "license": "6489",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "D/B/A Injury Rehabilitation Center.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• General Practice Physician in Pawtucket, RI
• Providers in Pawtucket, RI by specialty
• General Practice Physician in Rhode Island

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.