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Individual

RAED A. AL-RIFAI

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PA-C

Contact information

Practice address
1000 N 16TH ST, NEW CASTLE, IN 47362-4319
(765) 521-0890
(765) 521-1555
Mailing address
PO BOX 652, NEW CASTLE, IN 47362-0652

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
10001640A
IN
363A00000X
Physician Assistant
5601007013
MI
363A00000X
Physician Assistant
99058761A
IN

Other

Enumeration date
11/15/2012
Last updated
04/05/2017
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