Individual
RAFIQ A HUSSAIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
18660 BAGLEY RD, 301 PHASE II, CLEVELAND, OH 44130-3483
(440) 243-7878
(440) 243-1290
Mailing address
PO BOX 45318, WESTLAKE, OH 44145-0318
(440) 243-7878
(440) 243-1290
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
35034432
OH
246ZN0300X
Nephrology Specialist/Technologist
35034432
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000128294
ANTHEM
OH
05
—
0269525
—
OH
01
—
341179615026
CARE SOURCE
OH
01
—
341179615B01
MEDICAL MUTUAL
OH
01
—
51781
DUAL CHOICE
OH
01
—
659294
BUREAU OF WORKMENS COMPEN
OH
Enumeration date
03/12/2007
Last updated
02/17/2015
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