MEDICARE: MOHAMED ADEL ABDEL RAFA ELRIFAI

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207RC0000X	Cardiovascular Disease Physician	V3590	TX
2	207R00000X	Internal Medicine Physician	V3590	TX
3	390200000X	Student in an Organized Health Care Education/Training Program
4	207RI0011X	Interventional Cardiology Physician	V3590	TX
5	207R00000X	Internal Medicine Physician	35.127080	OH

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1003257999
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MOHAMED ADEL ABDEL RAFA ELRIFAI

Provider Business Mailing Address
First Line	:	24518 NORTHWEST FWY STE 325
Second Line	:
City	:	CYPRESS
State	:	TX
Zip	:	77429-2904
Country	:	US
Telephone Number	:	281-955-9158
Fax Number	:	281-955-8720

Provider Business Practice Location Address
First Line	:	24518 NORTHWEST FWY STE 325
Second Line	:
City	:	CYPRESS
State	:	TX
Zip	:	77429-2904
Country	:	US
Telephone Number	:	281-955-9158
Fax Number	:	281-955-8720

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/09/2013
Last Update Date	:	03/03/2026

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