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Individual

DR. REHAN RAFIQ

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1390 US HIGHWAY 61 STE N3300, FESTUS, MO 63028-4137
(636) 937-8675
Mailing address
1390 US HIGHWAY 61 STE N3300, FESTUS, MO 63028-4137
(636) 937-8675

Taxonomy

Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
036124859
IL
207RG0100X
Gastroenterology Physician
Primary
2008002909
MO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
02638099
NY
05
14079249
MO
Enumeration date
12/01/2006
Last updated
08/05/2024
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