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NPI Code Detail

MEDICARE: MARTIN RAFF MD

MEDICARE: MARTIN RAFF MD
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
1207RI0200XInfectious Disease Physician15812KY

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1477543726
Entity Type Code : Individual
Provider Name (Legal Business Name) : MARTIN RAFF MD
Provider Business Mailing Address
First Line : 517 RIDGEWOOD RD
Second Line :
City : LOUISVILLE
State : KY
Zip : 40207-1324
Country : US
Telephone Number : 502-896-8605
Fax Number : 502-589-5093
Provider Business Practice Location Address
First Line : 1850 STATE ST
Second Line :
City : NEW ALBANY
State : IN
Zip : 47150-4990
Country : US
Telephone Number : 502-896-8605
Fax Number : 502-589-5093
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/27/2005
Last Update Date : 04/01/2010

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Directions to “ MARTIN RAFF MD” Practice Location

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