Healthcare Provider Details

I. General information

NPI: 1851617146
Provider Name (Legal Business Name): RAFAY AHMED MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/13/2010
Last Update Date: 04/07/2026
Certification Date: 04/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2000 OGDEN AVE
AURORA IL
60504-5893
US

IV. Provider business mailing address

2000 OGDEN AVE
AURORA IL
60504-5893
US

V. Phone/Fax

Practice location:
  • Phone: 630-566-2233
  • Fax:
Mailing address:
  • Phone: 630-566-2233
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2085R0202X
TaxonomyDiagnostic Radiology Physician
License Number72109
License Number StateTN
# 2
Primary TaxonomyY
Taxonomy Code2085R0202X
TaxonomyDiagnostic Radiology Physician
License NumberMD448576
License Number StatePA
# 3
Primary TaxonomyN
Taxonomy Code2085B0100X
TaxonomyBody Imaging Physician
License Number036.162243
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: