Individual
ABDUR RAUF
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
30 W MCCREIGHT AVE, SUITE 205, SPRINGFIELD, OH 45504-1842
(937) 399-8889
(937) 399-8996
Mailing address
30 W MCCREIGHT AVE, SUITE 205, SPRINGFIELD, OH 45504-1842
(937) 399-8889
(937) 399-8996
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
35057339
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000017009
BLUE CROSS BLUE SHIELD
OH
05
—
0707613
—
OH
01
—
100006323
RAILROAD MEDICARE
OH
01
—
2920038
UNITED HEALTH CARE
OH
01
—
311394313026
CARESOURCE
OH
01
—
406636
AETNA
—
Enumeration date
07/13/2005
Last updated
03/06/2015
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