Healthcare Provider Details

I. General information

NPI: 1417872326
Provider Name (Legal Business Name): BAIYINA ABDUL-RAFI
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/11/2026
Last Update Date: 08/11/2026
Certification Date: 08/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

20611 EUCLID AVE
EUCLID OH
44117-1521
US

IV. Provider business mailing address

19153 GENESEE RD
EUCLID OH
44117-2358
US

V. Phone/Fax

Practice location:
  • Phone: 216-865-2727
  • Fax:
Mailing address:
  • Phone: 216-258-9181
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code164W00000X
TaxonomyLicensed Practical Nurse
License Number193491
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: