Provider Demographics
NPI:1114194958
Name:RIFAI, AYA (MD)
Entity Type:Individual
Prefix:
First Name:AYA
Middle Name:
Last Name:RIFAI
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:AYA
Other - Middle Name:
Other - Last Name:RIFAI
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MD
Mailing Address - Street 1:1701 SOUTH BLVD E STE 290
Mailing Address - Street 2:
Mailing Address - City:ROCHESTER HILLS
Mailing Address - State:MI
Mailing Address - Zip Code:48307-6116
Mailing Address - Country:US
Mailing Address - Phone:248-997-7900
Mailing Address - Fax:
Practice Address - Street 1:1701 SOUTH BLVD E
Practice Address - Street 2:SUITE 290
Practice Address - City:ROCHESTER HILLS
Practice Address - State:MI
Practice Address - Zip Code:48307-6122
Practice Address - Country:US
Practice Address - Phone:248-997-7900
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-05-12
Last Update Date:2011-12-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4301096697207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine