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Individual

ABDUL RAFAE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
11212 E 48TH ST, TULSA, OK 74146-5824
(918) 556-3000
(918) 556-7064
Mailing address
4301 W MARKHAM ST, LITTLE ROCK, AR 72205-7101
(810) 219-5629

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
4351044776
MI
207R00000X
Internal Medicine Physician
44440
OK

Other

Enumeration date
07/12/2019
Last updated
11/04/2025
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