MEDICARE: DR. YASMEEN RAUF M.D.

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	2084N0400X	Neurology Physician	LL35300	SC
2	2084P0805X	Geriatric Psychiatry Physician	LL35300	SC
3	174400000X	Specialist

General Provider Information

NPI Number	:	1790029627
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. YASMEEN RAUF M.D.

Provider Business Mailing Address
First Line	:	1916 SAM RITTENBERG BLVD
Second Line	:	APT 1015
City	:	CHARLESTON
State	:	SC
Zip	:	29407-4826
Country	:	US
Telephone Number	:	843-793-8193
Fax Number	:

Provider Business Practice Location Address
First Line	:	10201 CARNEGIE AVE
Second Line	:
City	:	CLEVELAND
State	:	OH
Zip	:	44106-2130
Country	:	US
Telephone Number	:	614-586-6669
Fax Number	:

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

Provider Enumeration Date	:	11/15/2012
Last Update Date	:	05/08/2020

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