Active NPI
Ezekiel David Rawana, M.D
- Internal Medicine Physician
- Hartford, CT
National Provider Identifier
1457630766
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 259835-1
- Practice address
- 363 Zion St
Hartford, CT 06106-3034 - Phone
- (860) 794-6883
- NPI assigned
- Aug 4, 2011
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 259835-1 | NY | Primary |
Addresses
Primary practice location
363 Zion St
Hartford, CT 06106-3034
Mailing address
P.O Box 180639
122-01 Jamaica Avenue
Richmond Hill North, NY 11418
Phone (860) 794-6883
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
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 259835-1 | NY | MD | Internal Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1312416000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1388620800000",
"number": "1457630766",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "P.O BOX 180639",
"address_2": "122-01 JAMAICA AVENUE",
"city": "RICHMOND HILL NORTH",
"state": "NY",
"postal_code": "11418",
"telephone_number": "860-794-6883"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "363 ZION ST",
"city": "HARTFORD",
"state": "CT",
"postal_code": "061063034",
"telephone_number": "860-794-6883"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RAWANA",
"first_name": "EZEKIEL",
"middle_name": "DAVID",
"name_prefix": "Dr.",
"credential": "M.D",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2011-08-04",
"last_updated": "2014-01-02",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NY",
"license": "259835-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Hartford, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.