Provider Demographics
NPI:1306844493
Name:TARFA, RAFIK ABDEL-HAMID (MS, DPT, PT)
Entity Type:Individual
Prefix:DR
First Name:RAFIK
Middle Name:ABDEL-HAMID
Last Name:TARFA
Suffix:
Gender:M
Credentials:MS, DPT, PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9500 PENNSYLVANIA AVE
Mailing Address - Street 2:SUITE; 6
Mailing Address - City:UPPER MARLBORO
Mailing Address - State:MD
Mailing Address - Zip Code:20772-3658
Mailing Address - Country:US
Mailing Address - Phone:301-599-8420
Mailing Address - Fax:301-599-8280
Practice Address - Street 1:9500 PENNSYLVANIA AVE
Practice Address - Street 2:SUITE; 6
Practice Address - City:UPPER MARLBORO
Practice Address - State:MD
Practice Address - Zip Code:20772-3658
Practice Address - Country:US
Practice Address - Phone:301-599-8420
Practice Address - Fax:301-599-8280
Is Sole Proprietor?:No
Enumeration Date:2005-07-12
Last Update Date:2008-05-08
Deactivation Date:2006-03-16
Deactivation Code:
Reactivation Date:2006-03-24
Provider Licenses
StateLicense IDTaxonomies
MD20955225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD491661Medicaid
MD491661Medicaid