Organization
SKYLINE PHYSICIANS OF MD LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RAFAI BUKHARI M.D (PRESIDENT)
(213) 399-8357
Entity
Organization
Contact information
Practice address
2110 WALNUT RIDGE CT # 1L, FREDERICK, MD 21702-5921
(213) 399-8357
Mailing address
2110 WALNUT RIDGE CT # 1L, FREDERICK, MD 21702-5921
(213) 399-8357
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
D0075094
MD
Other
Enumeration date
08/08/2016
Last updated
08/08/2016
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