Organization
M RAZI RAFEEQ MD INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. SUEANN ELIZABETH GELACEK (OFFICE MANAGER)
(419) 693-2230
Entity
Organization
Contact information
Practice address
1050 ISAAC STREETS DR STE 128, OREGON, OH 43616-3243
(419) 693-2230
(419) 693-2602
Mailing address
1050 ISAAC STREETS DR STE 128, OREGON, OH 43616-3243
(419) 693-2230
(419) 693-2602
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
35047541R
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000137276
ANTHEM
OH
01
—
00088
PARAMOUNT HEALTH CARE
OH
05
—
0493756
—
OH
01
—
206565077002
MEDICAL MUTUAL OF OHIO
OH
05
—
4836490
—
MI
01
—
600655
BUCKEYE COMMUNITY HEALTH
OH
Enumeration date
10/12/2007
Last updated
08/26/2010
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