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NPI Code Detail

MEDICARE: ABDULLAH MOHAMMADRAFIQ I ABDULLAH MD

MEDICARE:   ABDULLAH MOHAMMADRAFIQ I ABDULLAH  MD
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
12086S0129XVascular Surgery Physician35.135952OH

General Provider Information

NPI Number : 1477100998
Entity Type Code : Individual
Provider Name (Legal Business Name) : ABDULLAH MOHAMMADRAFIQ I ABDULLAH MD
Provider Business Mailing Address
First Line : 26900 GEORGE ZEIGER DR APT 510
Second Line :
City : BEACHWOOD
State : OH
Zip : 44122-7614
Country : US
Telephone Number : 216-972-4949
Fax Number :
Provider Business Practice Location Address
First Line : 11100 EUCLID AVE
Second Line : MAILSTOP LKS 5038
City : CLEVELAND
State : OH
Zip : 44106-1716
Country : US
Telephone Number : 216-844-7603
Fax Number : 216-844-8954
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/20/2019
Last Update Date : 08/20/2019

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