Healthcare Provider Details

I. General information

NPI: 1376474338
Provider Name (Legal Business Name): MUHAMMAD IRFAN RPH, PHD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/28/2026
Last Update Date: 08/17/2026
Certification Date: 08/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

625 DOVER CENTER RD
BAY VILLAGE OH
44140-2365
US

IV. Provider business mailing address

4331 W 155TH ST
CLEVELAND OH
44135-1319
US

V. Phone/Fax

Practice location:
  • Phone: 440-808-3921
  • Fax: 440-835-3271
Mailing address:
  • Phone: 914-433-9463
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number03446617
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: