Healthcare Provider Details

I. General information

NPI: 1558737346
Provider Name (Legal Business Name): RAFIA SHAFQAT M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/14/2015
Last Update Date: 05/07/2026
Certification Date: 05/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1480 W LANE AVE
COLUMBUS OH
43221-3919
US

IV. Provider business mailing address

1480 W LANE AVE
COLUMBUS OH
43221-3919
US

V. Phone/Fax

Practice location:
  • Phone: 614-533-5500
  • Fax: 614-533-5599
Mailing address:
  • Phone: 614-533-5500
  • Fax: 614-533-5599

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084N0400X
TaxonomyNeurology Physician
License Number35.138605
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: