| Organization Name: | RAFIQ K PATEL MD |
| NPI Number: | 1841469723 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | RAFIQ K PATEL (MEDICAL DIRECTOR) |
| Mailing Address: | 1952 Pulaski Highway Edgewood |
| State: | MD US |
| Postal Code: | 21040 |
| Phone Number: | 4106795800 |
| Fax Number: | 4106792340 |
| NPI Enumeration Date: | 02/26/2008 |
| NPI Last Update Date: | 08/18/2011 |
| 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: | |