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NPI Code Detail

MEDICARE: RAAFEH WASEEM

MEDICARE: RAAFEH WASEEM
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
1363A00000XPhysician Assistant0110006447VA
2363A00000XPhysician AssistantMD
3390200000XStudent in an Organized Health Care Education/Training ProgramOT024426PA

General Provider Information

NPI Number : 1134694516
Entity Type Code : Individual
Provider Name (Legal Business Name) : RAAFEH WASEEM
Provider Business Mailing Address
First Line : 11010 NACIREMA LN
Second Line :
City : STEVENSON
State : MD
Zip : 21153-0666
Country : US
Telephone Number : 410-967-2575
Fax Number :
Provider Business Practice Location Address
First Line : 10800 KNIGHTS RD
Second Line :
City : PHILADELPHIA
State : PA
Zip : 19114-4200
Country : US
Telephone Number : 215-612-4000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/11/2018
Last Update Date : 01/06/2026

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