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Individual

RAID MOHAMMED KOFAHI

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
111 NEUROLOGY WAY, MILFORD, DE 19963-5368
(302) 422-0800
(302) 346-2484
Mailing address
1074 S STATE ST, DOVER, DE 19901-6925
(302) 422-0800
(302) 346-2484

Taxonomy

Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
C10007315
DE

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1000034523
DE
Enumeration date
07/01/2005
Last updated
08/30/2011
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