Individual
RAFATH ULLAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
10400 75TH ST, KENOSHA, WI 53142-7884
(262) 948-6630
Mailing address
PO BOX 735044, CHICAGO, IL 60673-5044
(800) 326-2250
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
125.058933
IL
207R00000X
Internal Medicine Physician
61188
WI
207RC0000X
Cardiovascular Disease Physician
036131820
IL
207RC0000X
Cardiovascular Disease Physician
Primary
61188
WI
207RC0000X
Cardiovascular Disease Physician
72485
AZ
207RC0000X
Cardiovascular Disease Physician
75910
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100033626
—
WI
Enumeration date
07/10/2010
Last updated
04/22/2026
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