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General NPI Number Information
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NPI Number | 1912092800
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Entity Type | Individual
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Provider Name | DANIEL REFAI M.D.
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Gender | Male
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Dates
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Enumeration Date | 10/04/2006
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Last Update Date | 03/26/2020
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Provider Practice Location Address
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Address Line | 59 EXECUTIVE PARK S SUITE 3000
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City | ATLANTA
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State | GA
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Zip | 30329-2208
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Country | US
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Telephone | 404-778-6227
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Fax | 404-778-6310
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Provider Business Mailing Address
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Address Line | 59 EXECUTIVE PARK S SUITE 3000
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City | ATLANTA
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State | GA
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Zip | 30329-2208
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Country | US
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Telephone | 404-778-6227
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Fax | 404-778-6310
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207T00000X
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Taxonomy Name | Neurological Surgery Physician
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License Number | 092997
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License Number State | OH
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Taxonomy #2
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Taxonomy Code | 207T00000X
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Taxonomy Name | Neurological Surgery Physician
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License Number | A95987
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License Number State | CA
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Taxonomy #3
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Taxonomy Code | 207T00000X
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Taxonomy Name | Neurological Surgery Physician
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License Number | 2004019701
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License Number State | MO
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Taxonomy #4
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Taxonomy Code | 207T00000X
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Taxonomy Name | Neurological Surgery Physician
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License Number | 64254
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License Number State | GA
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