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Individual

RAZIB KHAUND

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
100 BUTLER DR, PROVIDENCE, RI 02906-4862
(401) 330-1415
Mailing address
PO BOX 1119, PROVIDENCE, RI 02901-1119
(401) 330-1415

Taxonomy

Speciality
Code
Description
License number
State
207RS0010X
Sports Medicine (Internal Medicine) Physician
Primary
MD08864
RI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
005317
BLUECHIP
RI
01
23279-9
BCBS RI
RI
01
691762
HPHC
RI
05
7004729
RI
Enumeration date
01/08/2006
Last updated
06/03/2014
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