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NPI Code Detail

MEDICARE: DR. SAMI F RIFAT MD

MEDICARE: DR. SAMI F RIFAT 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
1207QS0010XSports Medicine (Family Medicine) Physician4301056808MI
2207QS0010XSports Medicine (Family Medicine) Physician35.064924OH

Other Identifiers

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

General Provider Information

NPI Number : 1710962121
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. SAMI F RIFAT MD
Provider Business Mailing Address
First Line : 5555 TRANSPORTATION BLVD
Second Line :
City : GARFIELD HEIGHTS
State : OH
Zip : 44125-5371
Country : US
Telephone Number : 216-518-3479
Fax Number :
Provider Business Practice Location Address
First Line : 5555 TRANSPORTATION BLVD
Second Line :
City : GARFIELD HEIGHTS
State : OH
Zip : 44125-5371
Country : US
Telephone Number : 216-518-3479
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/08/2005
Last Update Date : 11/30/2021

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Directions to “ DR. SAMI F RIFAT MD” Practice Location

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