Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 204D00000X | Neuromusculoskeletal Medicine (NMM) | D0064266 | MD |
NPI | 1447214549 |
---|---|
Provider Name | Dr. Shahid Rafiq |
First Address | Frederick, MD 21702-4397 |
Second Address | Frederick, MD 21702-4397 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 14/04/2006 |
Last Update Date | 10/09/2015 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
1345981 | AETNA PVN (01) | |
2630838 | UNITED (01) | |
410515000 | (05) | MD |
4387-0001 | CAREFIRST BCBS GHMSI (01) | |
880603-01 | CAREFIRST BCBS MARYLAND (01) |