Healthcare Provider Details

I. General information

NPI: 1376776799
Provider Name (Legal Business Name): ABDULLAH RAFFEE MD. PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/02/2009
Last Update Date: 09/02/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5051 VILLA LINDE PKWY STE 23
FLINT MI
48532-3449
US

IV. Provider business mailing address

5051 VILLA LINDE PKWY STE 23
FLINT MI
48532-3449
US

V. Phone/Fax

Practice location:
  • Phone: 810-733-8241
  • Fax:
Mailing address:
  • Phone: 810-733-8241
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberAR040557
License Number StateMI
# 2
Primary TaxonomyN
Taxonomy Code207RG0300X
TaxonomyGeriatric Medicine (Internal Medicine) Physician
License NumberAR040557
License Number StateMI

VIII. Authorized Official

Name: DR. ABDULLAH RAFFEE
Title or Position: PHYSICIAN
Credential: M.D.
Phone: 810-733-8241