Provider Demographics
NPI:1083608426
Name:DAOUI, RACHID (MD)
Entity Type:Individual
Prefix:DR
First Name:RACHID
Middle Name:
Last Name:DAOUI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6 CARE LANE
Mailing Address - Street 2:
Mailing Address - City:SARATOGA SPRINGS
Mailing Address - State:NY
Mailing Address - Zip Code:12866-8624
Mailing Address - Country:US
Mailing Address - Phone:518-581-1415
Mailing Address - Fax:518-583-8796
Practice Address - Street 1:6 CARE LANE
Practice Address - Street 2:
Practice Address - City:SARATOGA SPRINGS
Practice Address - State:NY
Practice Address - Zip Code:12866-8624
Practice Address - Country:US
Practice Address - Phone:518-581-1415
Practice Address - Fax:518-583-8796
Is Sole Proprietor?:Yes
Enumeration Date:2005-08-31
Last Update Date:2015-09-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY229355207R00000X, 207RN0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY02431363Medicaid
NYP00339040OtherRAILROAD MEDICARE
NYH82264Medicare UPIN
NYDD6795Medicare ID - Type Unspecified