1306844493 NPI number — DR. RAFIK ABDEL-HAMID TARFA MS, DPT, PT

Table of content: DR. RAFIK ABDEL-HAMID TARFA MS, DPT, PT (NPI 1306844493)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1306844493 NPI number — DR. RAFIK ABDEL-HAMID TARFA MS, DPT, PT

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
TARFA
Provider First Name:
RAFIK
Provider Middle Name:
ABDEL-HAMID
Provider Name Prefix Text:
DR.
Provider Name Suffix Text:
Provider Credential Text:
MS, DPT, PT
Provider Gender Code:
M

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1306844493
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
05/08/2008
NPI Deactivation Reason Code:
NPI Deactivation Date:
03/16/2006
NPI Reactivation Date:
03/24/2006

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
9500 PENNSYLVANIA AVE
Provider Second Line Business Mailing Address:
SUITE; 6
Provider Business Mailing Address City Name:
UPPER MARLBORO
Provider Business Mailing Address State Name:
MD
Provider Business Mailing Address Postal Code:
20772-3658
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
301-599-8420
Provider Business Mailing Address Fax Number:
301-599-8280

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
9500 PENNSYLVANIA AVE
Provider Second Line Business Practice Location Address:
SUITE; 6
Provider Business Practice Location Address City Name:
UPPER MARLBORO
Provider Business Practice Location Address State Name:
MD
Provider Business Practice Location Address Postal Code:
20772-3658
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
301-599-8420
Provider Business Practice Location Address Fax Number:
301-599-8280
Provider Enumeration Date:
07/12/2005

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 225100000X , with the licence number:  20955 , registered in the state of MD ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 491661 , issued by the state of ( MD ) . This identifiers is of the category "MEDICAID".




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