Individual
DR. RAFAEL A JAVIER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
4301038160
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0M54770002
MEDICARE PLUS BLUE
MI
01
—
1001751
MCLAREN HEALTH PLAN-MEDICAID
MI
01
—
1103341901
BCBS/BCN
MI
01
—
200000002168
PHP FAMILYCARE
MI
05
—
3421196
—
MI
05
—
3421202
—
MI
01
—
4496774
AETNA
MI
01
—
P00257186
RAILROAD MEDICARE
MI
Enumeration date
05/18/2006
Last updated
09/23/2009
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