Individual
SALAH A. RAFATI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5401 SPRINGFIELD AVE, LAREDO, TX 78041-3296
(956) 718-0092
Mailing address
5401 SPRINGFIELD AVE, LAREDO, TX 78041-3296
(956) 718-0092
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
E4146
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00BJ03
BLUE CROSS
TX
01
—
300011423
MEDICARERD
TX
01
—
E4146
LICENSE
TX
Enumeration date
07/27/2006
Last updated
09/03/2008
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