Doctor Name: | DR. RAFIQ K PATEL |
NPI Number: | 1043358567 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MD |
License Number: | D0018629 |
Business Practice Address: | 1952 Pulaski Hwy Edgewood, MD - 21040 |
Business Phone Number: | 4106795800 |
Business Fax Number: | 4106792340 |
Mailing Address: | 1952 Pulaski Hwy, EDGEWOOD |
State: | MD |
Postal Code: | 21040 |
Phone Number: | 4106795800 |
Fax Number: | 4106792340 |
NPI Enumeration Date: | 02/05/2007 |
NPI Last Update Date: | 08/05/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | D0018629 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MD |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |