Rafeea, Ibtesam M

Rafeea, Ibtesam M is an sole proprietor health care provider with primary practice located at 5266 Schaefer Rd , Dearborn MI 48126-3228. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Rafeea, Ibtesam M can be contacted via phone (313) 914-3036.

Contact Information

Primary practice address
5266 Schaefer Rd Dearborn MI 48126-3228
Fax: (313) 908-2247
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 4301085086 Michigan

Profile Details

NPI number 1740255306
LBN Legal business name Rafeea, Ibtesam M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 17th, 2006
Last updated Oct 30th, 2013 - about 11 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 1740255306 NPPES
Michigan Other 4301085086 PHYSICIAN LICENSE
Michigan Other BR9193044 PHYSICIAN LICENSE

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