Elmallakh, Rifaat S

Elmallakh, Rifaat S is an individual health care provider with primary practice located at 550 S. Jackson St. , Louisville KY 40202. He recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as his primary health care specialty. Elmallakh, Rifaat S can be contacted via phone (502) 852-5866.

Contact Information

Primary practice address
550 S. Jackson St. Louisville KY 40202
Fax: (502) 852-5098
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X 29299 Kentucky

Profile Details

NPI number 1174595300
LBN Legal business name Elmallakh, Rifaat S
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 2nd, 2006
Last updated Jan 30th, 2013 - about 12 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 1174595300 NPPES
Kentucky MEDICAID 64092992

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