Individual
JAMAL RAFIQUE
Active
Individual
JAMAL RAFIQUE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
036-105278
IL
2084P0800X
Psychiatry Physician
Primary
N1087
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2860587-01
—
TX
01
—
N1087
LICENSE
TX
Enumeration date
07/20/2005
Last updated
12/12/2022
Update your record
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