# HISHAM A ALREFAI

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

## Provider details

- **NPI number:** 1811962350
- **Gender:** Man
- **Credential:** MD

## Taxonomy

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

## Other

- **Enumeration date:** 02/20/2006
- **Last updated:** 02/09/2024

## 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 |