Provider Demographics
NPI:1578829677
Name:RAFIQ A. HUSSAIN M.D F.R.C.P.
Entity Type:Organization
Organization Name:RAFIQ A. HUSSAIN M.D F.R.C.P.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:RAFIQ
Authorized Official - Middle Name:A
Authorized Official - Last Name:HUSSAIN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:440-243-7878
Mailing Address - Street 1:PO BOX 45318
Mailing Address - Street 2:
Mailing Address - City:WESTLAKE
Mailing Address - State:OH
Mailing Address - Zip Code:44145-0318
Mailing Address - Country:US
Mailing Address - Phone:440-243-7878
Mailing Address - Fax:440-243-1290
Practice Address - Street 1:18660 BAGLEY RD
Practice Address - Street 2:301 PHASE II
Practice Address - City:MIDDLEBURG HEIGHTS
Practice Address - State:OH
Practice Address - Zip Code:44130-3483
Practice Address - Country:US
Practice Address - Phone:440-243-7878
Practice Address - Fax:440-243-1290
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:RAFIQ A. HUSSAIN M.D. F.R.C.P
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2012-04-03
Last Update Date:2015-02-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH354432207RN0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0375845Medicare PIN