MEDICARE: RAFAY LATIF M.D / MHA

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207RG0300X	Geriatric Medicine (Internal Medicine) Physician	R3128	TX

General Provider Information

NPI Number	:	1093086282
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	RAFAY LATIF M.D / MHA

Provider Business Mailing Address
First Line	:	3900 S STONEBRIDGE DR STE 1203
Second Line	:
City	:	MCKINNEY
State	:	TX
Zip	:	75070-8087
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	3900 S STONEBRIDGE DR STE 1203
Second Line	:
City	:	MCKINNEY
State	:	TX
Zip	:	75070-8087
Country	:	US
Telephone Number	:	469-886-8537
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/19/2012
Last Update Date	:	06/18/2026

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