Individual
SALAH A. RAFATI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
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
Update your record
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