Individual
DR. RAFI SOOFI-SIAVASH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1941 LIMESTONE RD, STE. 203, WILMINGTON, DE 19808-5400
(302) 999-1644
(302) 999-1686
Mailing address
1941 LIMESTONE RD, STE. 203, WILMINGTON, DE 19808-5400
(302) 999-1644
(302) 999-1686
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
C10001828
DE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0000020801
—
DE
Enumeration date
08/12/2005
Last updated
04/29/2008
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