Provider Demographics
NPI:1508051962
Name:RIFAAT, SAMIA H (MD)
Entity Type:Individual
Prefix:DR
First Name:SAMIA
Middle Name:H
Last Name:RIFAAT
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:319-91 STREET,
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11209
Mailing Address - Country:US
Mailing Address - Phone:718-238-3548
Mailing Address - Fax:718-921-1901
Practice Address - Street 1:319-91 STREET,
Practice Address - Street 2:
Practice Address - City:BROOKLYN,
Practice Address - State:NY
Practice Address - Zip Code:11209-5807
Practice Address - Country:US
Practice Address - Phone:718-238-3548
Practice Address - Fax:718-921-1901
Is Sole Proprietor?:Yes
Enumeration Date:2007-09-10
Last Update Date:2007-09-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY242037207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine