Individual
USAMA AHMAD RAFIQUE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
860 S COLUMBIA RD, GRAND FORKS, ND 58201
(701) 780-6697
(701) 780-1507
Mailing address
2401 DEMERS AVE, GRAND FORKS, ND 58201
(701) 780-1891
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
15550
ND
2084P0800X
Psychiatry Physician
ME153066
FL
Other
Enumeration date
03/31/2015
Last updated
01/20/2023
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