Individual
RAFIQ M KUTTY
Active
Individual
RAFIQ M KUTTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
036111644
IL
207RP1001X
Pulmonary Disease Physician
Primary
036-111644
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036111644
—
IL
01
—
202963
MEDICARE
IL
01
—
202964
MEDICARE
IL
01
—
31601838
BLUE CROSS BLUE SHIELD
IL
Enumeration date
09/09/2007
Last updated
01/27/2012
Update your record
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