Provider Demographics
NPI:1063464246
Name:RAOUF, MEDHAT (MD)
Entity Type:Individual
Prefix:DR
First Name:MEDHAT
Middle Name:
Last Name:RAOUF
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:60 SKYLINE DR
Mailing Address - Street 2:
Mailing Address - City:RINGWOOD
Mailing Address - State:NJ
Mailing Address - Zip Code:07456-2012
Mailing Address - Country:US
Mailing Address - Phone:973-962-4000
Mailing Address - Fax:973-962-0640
Practice Address - Street 1:60 SKYLINE DR
Practice Address - Street 2:
Practice Address - City:RINGWOOD
Practice Address - State:NJ
Practice Address - Zip Code:07456-2012
Practice Address - Country:US
Practice Address - Phone:973-962-4000
Practice Address - Fax:973-962-0640
Is Sole Proprietor?:No
Enumeration Date:2006-05-16
Last Update Date:2016-01-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ044564207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJD06778Medicare UPIN
NJ520367PPVMedicare PIN