Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RG0100X | Gastroenterologist | 01043558A | IN |
NPI | 1033210737 |
---|---|
Provider Name | Magdy Z Rofail |
First Address | Richmond, IN 47374-1256 |
Second Address | Richmond, IN 47374-1256 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 26/09/2006 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
G00860 | (02) | IN |