MEDICARE: RAFID A H FADUL M.D., P.C.

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	207V00000X	Obstetrics & Gynecology Physician
2	207Q00000X	Family Medicine Physician

General Provider Information

NPI Number	:	1831900257
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	RAFID A H FADUL M.D., P.C.

Provider Business Mailing Address
First Line	:	548 MARKET ST # 31758
Second Line	:
City	:	SAN FRANCISCO
State	:	CA
Zip	:	94104-5401
Country	:	US
Telephone Number	:	877-897-6320
Fax Number	:

Provider Business Practice Location Address
First Line	:	1325 J ST STE 1550
Second Line	:
City	:	SACRAMENTO
State	:	CA
Zip	:	95814-2976
Country	:	US
Telephone Number	:	877-897-6320
Fax Number	:

Authorized Official
Title or Position	:	PC OWNER
Name	:	RAFID FADUL
Credential	:	MD
Telephone Number	:	202-557-5361

Provider Enumeration Date	:	01/15/2025
Last Update Date	:	01/15/2025

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