DR. RAAFAT ISSAMDLLC NPI 1578752127

NPI Information

NPI: 1578752127
Provider Name: DR. RAAFAT ISSA,MD,LLC
Classification: Clinic/Center - 261QP2300X
Entity Type: Organization

Specialization: Primary Care

Address:
47100 SCHOENHERR RD
SUITE E
SHELBY TWP, MI
ZIP 48315
Phone: (586) 566-1782
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DR. RAAFAT ISSA,MD,LLC is a primary care clinic center in Shelby Twp, MI. DR. RAAFAT ISSA,MD,LLC NPI is 1578752127. The provider is registered as an organization entity type.

The provider's business location address is:

47100 SCHOENHERR RD
SUITE E
SHELBY TWP, MI
ZIP 48315-716
Phone: (586) 566-1782
Fax: (586) 566-1859

The provider's authorized official is Raafat Issa .
The authorized official title is Owner and has the following contact phone number (586) 566-1782.

The enumeration date for this NPI number is 10/19/2007 and was last updated on 4/29/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QP2300X	Clinic/Center	Primary Care	RI057892	MICHIGAN	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	F94608	MEDICARE UPIN	MICHIGAN
2	0N87900	MEDICARE PIN	MICHIGAN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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