Healthcare Provider Details

I. General information

NPI: 1295413060
Provider Name (Legal Business Name): AADIL RAFI MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/10/2023
Last Update Date: 06/23/2026
Certification Date: 06/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

905 THUNDER RD STE 210
ELIZABETH CITY NC
27909-7724
US

IV. Provider business mailing address

905 THUNDER RD STE 210
ELIZABETH CITY NC
27909-7724
US

V. Phone/Fax

Practice location:
  • Phone: 252-334-0460
  • Fax: 844-518-0705
Mailing address:
  • Phone: 252-334-0460
  • Fax: 844-518-0705

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number2026-02787
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: