Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208000000X | Pediatrician | 4301081296 | MI |
Y | 2080P0208X | Pediatric Infectious Diseases | 4301081296 | MI |
NPI | 1548368517 |
---|---|
Provider Name | Yaseen Rafee |
First Address | Flint, MI 48503-5902 |
Second Address | Flint, MI 48503-5993 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 21/09/2006 |
Last Update Date | 04/04/2017 |