MEDICARE: MS. ALMAZ G RUFAEL MS RD LD

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	133V00000X	Registered Dietitian	282	KS

General Provider Information

NPI Number	:	1972505691
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. ALMAZ G RUFAEL MS RD LD

Provider Business Mailing Address
First Line	:	1621 VIRGINIA DR
Second Line	:
City	:	MANHATTAN
State	:	KS
Zip	:	66502-2337
Country	:	US
Telephone Number	:	785-776-2885
Fax Number	:	785-565-4742

Provider Business Practice Location Address
First Line	:	1823 COLLEGE AVE
Second Line	:
City	:	MANHATTAN
State	:	KS
Zip	:	66502-3381
Country	:	US
Telephone Number	:	785-776-3322
Fax Number	:	785-776-1988

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

Provider Enumeration Date	:	08/12/2005
Last Update Date	:	07/08/2007

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