National Provider Identifier
Kenan Rodwan Rajjoub, MD
Kenan Rodwan Rajjoub, MD is listed in the NPPES registry with a primary specialty of Student in an Organized Health Care Education/Training Program in Buffalo, NY and a listed phone number of (716) 859-5600.
Profile Overview
- NPI
- 1245859065
- Provider Type
- Individual
- Primary Specialty
- Student in an Organized Health Care Education/Training Program
- Enumeration Date
- April 12, 2020
- Last Updated
- April 12, 2020
Practice Location
- 100 High St
- Buffalo, NY 14203-1126
Phone: (716) 859-5600
Mailing Address
- 1100 Campbell St
- Williamsport, PA 17701-3025
Specialties
- Student in an Organized Health Care Education/Training Program (390200000X)
Full Record
- NPI
- 1245859065
- Entity Type
- Individual
- Last Name
- Rajjoub
- First Name
- Kenan
- Middle Name
- Rodwan
- Name Prefix
- Dr.
- Credential
- MD
- Mailing Street Address
- 1100 Campbell St
- Mailing City
- Williamsport
- Mailing State
- PA
- Mailing ZIP Code
- 17701-3025
- Mailing Country
- US
- Mailing Phone
- (570) 772-7398
- Practice Street Address
- 100 High St
- Practice City
- Buffalo
- Practice State
- NY
- Practice ZIP Code
- 14203-1126
- Practice Country
- US
- Practice Phone
- (716) 859-5600
- Enumeration Date
- April 12, 2020
- Last Updated
- April 12, 2020
- Sex
- Male
- Sole Proprietor
- No
- Certification Date
- April 12, 2020
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Student in an Organized Health Care Education/Training Program (390200000X)