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Individual

RAFI ISRAELI

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
11100 EUCLID AVE, CLEVELAND, OH 44106
(216) 844-1000
Mailing address
3605 WARRENSVILLE CENTER ROAD, 1ST FLOOR, SHAKER HTS, OH 44122
(216) 286-6260
(216) 286-6341

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
237813
NY
207P00000X
Emergency Medicine Physician
Primary
35.090007
OH
207R00000X
Internal Medicine Physician
237813
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0000000532678
ANTHEM
OH
01
000000225737
UNISON
OH
05
2761962
OH
01
410534
WELLCARE
OH
01
750787
BUCKEYE MEDICAID
OH
01
9896058
AETNA
OH
01
P00432285
RAILROAD MEDICARE
OH
Enumeration date
10/04/2006
Last updated
05/22/2008
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