# SKYLINE PHYSICIANS OF MD LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1730633785
- **Authorized official:** RAFAI BUKHARI M.D (PRESIDENT)
- **Authorized official phone:** (213) 399-8357

## Contact information

- **Practice address:** 2110 WALNUT RIDGE CT \# 1L, FREDERICK, MD 21702-5921
- **Practice address phone:** (213) 399-8357
- **Mailing address:** 2110 WALNUT RIDGE CT \# 1L, FREDERICK, MD 21702-5921
- **Mailing address phone:** (213) 399-8357

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | D0075094 | MD | Yes |

## Other

- **Enumeration date:** 08/08/2016
- **Last updated:** 08/08/2016