Individual
MR. ELIAS MOUNIF RIFKAH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
120 CHESTNUT AVE, ALTOONA, PA 16601-4926
(814) 940-8113
(814) 946-1928
Mailing address
120 CHESTNUT AVE, ALTOONA, PA 16601-4926
(814) 940-8113
(814) 946-1928
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD066020L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0017622580005
—
PA
01
—
008060
MEDICARE PTAB NUMBER
PA
Enumeration date
11/13/2006
Last updated
01/10/2014
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