Provider Demographics
NPI:1134461114
Name:RAFIQ, RABIA (DC)
Entity Type:Individual
Prefix:DR
First Name:RABIA
Middle Name:
Last Name:RAFIQ
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3615 SHENANDOAH DR
Mailing Address - Street 2:
Mailing Address - City:BELTSVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:20705-3549
Mailing Address - Country:US
Mailing Address - Phone:314-680-5453
Mailing Address - Fax:
Practice Address - Street 1:7400 RIVERDALE RD
Practice Address - Street 2:
Practice Address - City:LANHAM
Practice Address - State:MD
Practice Address - Zip Code:20706-1136
Practice Address - Country:US
Practice Address - Phone:301-577-6556
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-03-18
Last Update Date:2018-05-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD03731111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor