Healthcare Provider Details

I. General information

NPI: 1154815553
Provider Name (Legal Business Name): RAFEY FEROZE MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/19/2018
Last Update Date: 06/14/2026
Certification Date: 06/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

196 CARDIOLOGY DR
ROCK HILL SC
29732-1174
US

IV. Provider business mailing address

196 CARDIOLOGY DR
ROCK HILL SC
29732-1174
US

V. Phone/Fax

Practice location:
  • Phone: 803-324-5135
  • Fax: 803-324-8161
Mailing address:
  • Phone: 803-324-5135
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RC0000X
TaxonomyCardiovascular Disease Physician
License Number96881
License Number StateSC
# 2
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number430111491
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: