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Individual

HISHAM A ALREFAI

Active
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Individual

HISHAM A ALREFAI

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
01055359A
IN
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
37214
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000831435
ANTHEM - NCMA
KY
01
—
149327
SIHO - NCMA
KY
05
—
200385521
—
IN
01
—
50053026
PASSPORT - NCMA
MA
05
—
64055395
—
KY
01
—
940540SSSS
LEGACY MEDICARE
IN
Enumeration date
02/20/2006
Last updated
02/09/2024
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