Individual
RAFEENA BACCHUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
D0073688
MD
208M00000X
Hospitalist Physician
D73688
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P01102392
RR MEDICARE PTAN
—
01
—
V8260037
CAREFIRST
—
Enumeration date
05/20/2009
Last updated
03/16/2023
Update your record
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