Individual
DR. SHAHID RAFIQ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
196 THOMAS JOHNSON DR, SUITE 120, FREDERICK, MD 21702-4397
(240) 566-3130
(240) 566-3131
Mailing address
196 THOMAS JOHNSON DR, SUITE 120, FREDERICK, MD 21702-4397
(240) 566-3130
(240) 566-3131
Taxonomy
Speciality
Code
Description
License number
State
204D00000X
Neuromusculoskeletal Medicine & OMM Physician
Primary
D0064266
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1345981
AETNA PVN
—
01
—
2630838
UNITED
—
05
—
410515000
—
MD
01
—
4387-0001
CAREFIRST BCBS GHMSI
—
01
—
880603-01
CAREFIRST BCBS MARYLAND
—
Enumeration date
04/14/2006
Last updated
09/10/2015
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