MEDICARE: RAZIA RAFIQUE

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	251E00000X	Home Health Agency	HHA6222	DC

General Provider Information

NPI Number	:	1578985388
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	RAZIA RAFIQUE

Provider Business Mailing Address
First Line	:	1909 MARYLAND AVE NE
Second Line	:	APT 109
City	:	WASHINGTON
State	:	DC
Zip	:	20002-3125
Country	:	US
Telephone Number	:	202-460-5145
Fax Number	:

Provider Business Practice Location Address
First Line	:	1909 MARYLAND AVE NE
Second Line	:	APT 109
City	:	WASHINGTON
State	:	DC
Zip	:	20002-3125
Country	:	US
Telephone Number	:	202-460-5145
Fax Number	:

Authorized Official
Title or Position	:	HHA
Name	:	MS. RAZIA RAFIQUE
Credential	:
Telephone Number	:	202-460-5145

Provider Enumeration Date	:	01/13/2014
Last Update Date	:	01/13/2014

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