Provider Demographics
NPI:1851336366
Name:RAWLINS, SEKOU R (MD)
Entity Type:Individual
Prefix:
First Name:SEKOU
Middle Name:R
Last Name:RAWLINS
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 1:1000 E GENESEE ST
Mailing Address - Street 2:SUITE 205 & 206
Mailing Address - City:SYRACUSE
Mailing Address - State:NY
Mailing Address - Zip Code:13210-1892
Mailing Address - Country:US
Mailing Address - Phone:315-464-1600
Mailing Address - Fax:315-464-1601
Practice Address - Street 1:1000 E GENESEE ST
Practice Address - Street 2:SUITE 205 & 206
Practice Address - City:SYRACUSE
Practice Address - State:NY
Practice Address - Zip Code:13210-1892
Practice Address - Country:US
Practice Address - Phone:315-464-1600
Practice Address - Fax:315-464-1601
Is Sole Proprietor?:No
Enumeration Date:2006-06-18
Last Update Date:2012-06-19
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NY248138207RG0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY02646197Medicaid
I30612Medicare UPIN
NY02646197Medicaid
NYRA6823Medicare PIN