MEDICARE: MOSTAFA RAFII MD INC

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	207R00000X	Internal Medicine Physician	35035642	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

General Provider Information

NPI Number	:	1144402785
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MOSTAFA RAFII MD INC

Provider Business Mailing Address
First Line	:	340 RIDGE ROAD
Second Line	:
City	:	NEWTON FALLS
State	:	OH
Zip	:	44444-1265
Country	:	US
Telephone Number	:	330-872-0330
Fax Number	:	330-872-7664

Provider Business Practice Location Address
First Line	:	340 RIDGE ROAD
Second Line	:
City	:	NEWTON FALLS
State	:	OH
Zip	:	44444-1265
Country	:	US
Telephone Number	:	330-872-0330
Fax Number	:	330-872-7664

Authorized Official
Title or Position	:	PHYSICIAN
Name	:	MOSTAFA RAFII
Credential	:	MD
Telephone Number	:	330-872-0330

Provider Enumeration Date	:	12/05/2007
Last Update Date	:	08/23/2010

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