Provider Demographics
NPI:1508494915
Name:EL-RIF, MIRIAM S (MD)
Entity Type:Individual
Prefix:
First Name:MIRIAM
Middle Name:S
Last Name:EL-RIF
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 1:625 AFRICA RD STE 240
Mailing Address - Street 2:
Mailing Address - City:WESTERVILLE
Mailing Address - State:OH
Mailing Address - Zip Code:43082-9830
Mailing Address - Country:US
Mailing Address - Phone:614-508-2672
Mailing Address - Fax:614-508-2668
Practice Address - Street 1:625 AFRICA RD STE 240
Practice Address - Street 2:
Practice Address - City:WESTERVILLE
Practice Address - State:OH
Practice Address - Zip Code:43082-9830
Practice Address - Country:US
Practice Address - Phone:614-508-2672
Practice Address - Fax:614-508-2668
Is Sole Proprietor?:Yes
Enumeration Date:2020-03-31
Last Update Date:2023-06-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35.146294207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine