Individual
BUSHRA R RAFEEQ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2001 W 86TH ST, INDIANAPOLIS, IN 46260-1902
(317) 338-2345
Mailing address
8840 COMMERCE PARK PL STE E, INDIANAPOLIS, IN 46268-3129
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
01075118A
IN
207RN0300X
Nephrology Physician
01075118A
IN
207RN0300X
Nephrology Physician
7207
SD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
7207
LICENSE
SD
Enumeration date
07/25/2008
Last updated
11/30/2015
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