Blank, Rafael

Blank, Rafael is an individual health care provider with primary practice located at 350 Hawthorne Ave Rm 2308 , Oakland CA 94609-3108. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Hospitalist. Allopathic & Osteopathic Physicians / Hospitalist is his primary health care specialty. Blank, Rafael can be contacted via phone (510) 869-6883.

Contact Information

Primary practice address
350 Hawthorne Ave Rm 2308 Oakland CA 94609-3108
Phone: (510) 869-6883
Fax: (510) 869-6888
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X A157323 California
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X A157323 California

Profile Details

NPI number 1972033207
LBN Legal business name Blank, Rafael
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 19th, 2017
Last updated Feb 12th, 2021 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1972033207 NPPES
California Other A157323 STATE MEDICAL LICENSE

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