1942483748 NPI number — DR. HUSSEIN RAEF M.D.

Table of content: DR. HUSSEIN RAEF M.D. (NPI 1942483748)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1942483748 NPI number — DR. HUSSEIN RAEF M.D.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
RAEF
Provider First Name:
HUSSEIN
Provider Middle Name:
Provider Name Prefix Text:
DR.
Provider Name Suffix Text:
Provider Credential Text:
M.D.
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:
1942483748
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
06/24/2011
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
KING FAISAL SPECIALIST HOSPITAL , TAKASSUSI STREET
Provider Second Line Business Mailing Address:
MBC 46, BOX 3354
Provider Business Mailing Address City Name:
RIYADH
Provider Business Mailing Address State Name:
CENTRAL REGION
Provider Business Mailing Address Postal Code:
11211
Provider Business Mailing Address Country Code:
SA
Provider Business Mailing Address Telephone Number:
96614427490
Provider Business Mailing Address Fax Number:
96614424771

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
KING FAISAL HOSPITAL, DEPT OF MEDICINE, TAKASSUSI STREE
Provider Second Line Business Practice Location Address:
MBC 46, BOX 3354
Provider Business Practice Location Address City Name:
RIYADH
Provider Business Practice Location Address State Name:
CENTRAL PROVINCE
Provider Business Practice Location Address Postal Code:
11211
Provider Business Practice Location Address Country Code:
SA
Provider Business Practice Location Address Telephone Number:
96614427490
Provider Business Practice Location Address Fax Number:
96614424771
Provider Enumeration Date:
12/14/2007

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: 207R00000X , with the licence number:  018237 , registered in the state of ME ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .
  • Taxonomy code: 207RE0101X , with the licence number: H5351 , registered in the state of TX ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .

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

  • Identifier: 1942483748 , issued by the state of ( ME ) . This identifiers is of the category "MEDICAID".




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