Provider Demographics
NPI:1851310726
Name:WILLIAMS, RAASHAN CARLOS (MD)
Entity Type:Individual
Prefix:MR
First Name:RAASHAN
Middle Name:CARLOS
Last Name:WILLIAMS
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 1:120 48TH ST
Mailing Address - Street 2:
Mailing Address - City:UNION CITY
Mailing Address - State:NJ
Mailing Address - Zip Code:07087-6439
Mailing Address - Country:US
Mailing Address - Phone:201-758-8000
Mailing Address - Fax:201-758-8003
Practice Address - Street 1:120 48TH ST
Practice Address - Street 2:
Practice Address - City:UNION CITY
Practice Address - State:NJ
Practice Address - Zip Code:07087-6439
Practice Address - Country:US
Practice Address - Phone:201-758-8000
Practice Address - Fax:201-758-8003
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-19
Last Update Date:2009-10-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MA08095300207RC0000X, 207RI0011X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
No207RI0011XAllopathic & Osteopathic PhysiciansInternal MedicineInterventional Cardiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ0112429Medicaid
NJ108442Medicare PIN
NJI02825Medicare UPIN