Individual
DR. RAFAY ATIQ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3130 N COUNTY ROAD 25A, TROY, OH 45373-1337
(937) 440-7626
(937) 440-7702
Mailing address
3170 KETTERING BLVD BLDG B3, MORAINE, OH 45439-1924
(937) 991-3188
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
35087049
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
05633789
ECFMG
—
05
—
2669385
—
OH
Enumeration date
06/01/2006
Last updated
10/26/2020
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