Provider Demographics
NPI:1508850736
Name:RAFFEE, ABDULLAH (MD)
Entity Type:Individual
Prefix:DR
First Name:ABDULLAH
Middle Name:
Last Name:RAFFEE
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5051 VILLA LINDE PKWY
Mailing Address - Street 2:STE 23
Mailing Address - City:FLINT
Mailing Address - State:MI
Mailing Address - Zip Code:48532-3449
Mailing Address - Country:US
Mailing Address - Phone:810-733-8241
Mailing Address - Fax:810-733-3058
Practice Address - Street 1:5051 VILLA LINDE PKWY
Practice Address - Street 2:STE 23
Practice Address - City:FLINT
Practice Address - State:MI
Practice Address - Zip Code:48532-3449
Practice Address - Country:US
Practice Address - Phone:810-733-8241
Practice Address - Fax:810-733-3058
Is Sole Proprietor?:Yes
Enumeration Date:2005-09-02
Last Update Date:2012-08-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MIAR 040557207R00000X, 207RG0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0300XAllopathic & Osteopathic PhysiciansInternal MedicineGeriatric Medicine
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI1393314Medicaid
MI1393314Medicaid
B44930Medicare UPIN