Individual
SHAMUDHEEN MOHAMMED RAFIYATH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
10350 E DREXEL RD STE 204&210, TUCSON, AZ 85747-9405
(520) 625-6600
Mailing address
PO BOX 910221, DALLAS, TX 75391-0221
(520) 519-7700
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
50564
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
037139
—
AZ
Enumeration date
04/29/2009
Last updated
08/11/2022
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