Individual
DR. UNKNOWN RAFAQAT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1001 GAUSE BLVD, SLIDELL, LA 70458-2987
(985) 280-2200
Mailing address
1001 GAUSE BLVD, SLIDELL, LA 70458-2987
(985) 280-2200
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
336798
LA
Other
Enumeration date
07/21/2020
Last updated
08/10/2023
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