Soofi-Siavash, Rafi
Soofi-Siavash, Rafi is an sole proprietor health care provider with primary practice located at 1941 Limestone Rd Ste. 203, Wilmington DE 19808-5400. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Soofi-Siavash, Rafi can be contacted via phone (302) 999-1644.Contact Information
Primary practice address
1941 Limestone Rd Ste. 203
Wilmington DE 19808-5400
Phone: (302) 999-1644
Fax: (302) 999-1686
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | C10001828 | Delaware |
Profile Details
| NPI number | 1740282474 |
|---|---|
| LBN Legal business name | Soofi-Siavash, Rafi |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 12th, 2005 |
| Last updated | Apr 29th, 2008 - about 17 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1740282474 | NPPES |
| Delaware | MEDICAID | 0000020801 |
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