# KHALIL A RAFFOUL

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1407851736
- **Gender:** Man
- **Credential:** M.D.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207W00000X | Ophthalmology Physician | 35070799 | OH | Yes |

## Other

- **Enumeration date:** 06/14/2005
- **Last updated:** 04/13/2021

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 000000127266 | ANTHEM | — |
| 01 | — | 0004651135 | AETNA | — |
| 01 | — | 02267 | PARAMOUNT | — |
| 05 | — | 0297450 | — | OH |
| 01 | — | 1427801 | UNITED HEALTHCARE | — |
| 01 | — | 180027814 | RAILROAD MEDICARE | OH |