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Individual
RAFIYA HAMEEDUDDIN
Active
Individual
RAFIYA HAMEEDUDDIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
036091808
IL
208M00000X
Hospitalist Physician
Primary
036091808
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0222075
BLUE CROSS GROUP NUMBER
IL
01
—
036091808
STATE LICENSE
IL
05
—
036091808
—
IL
01
—
363149833
TAX IDENTIFICATION NUMBER
IL
01
—
3631498336019001
CDPG HFS PAYEE ID
IL
Enumeration date
02/06/2007
Last updated
01/30/2020
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