Provider Demographics
NPI:1629208251
Name:FARAG, RAFIK (MD)
Entity Type:Individual
Prefix:DR
First Name:RAFIK
Middle Name:
Last Name:FARAG
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Gender:M
Credentials:MD
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Mailing Address - Street 1:8003 CASTLEWAY DRIVE
Mailing Address - Street 2:INDIANA HEALTH CENTERS, INC.
Mailing Address - City:INDIANAPOLIS
Mailing Address - State:IN
Mailing Address - Zip Code:46250
Mailing Address - Country:US
Mailing Address - Phone:317-576-1335
Mailing Address - Fax:317-576-1339
Practice Address - Street 1:1694 W LOGANSPORT RD.
Practice Address - Street 2:COMMUNITY HEALTH CENTER OF MIAMI COUNTY
Practice Address - City:PERU
Practice Address - State:IN
Practice Address - Zip Code:46970
Practice Address - Country:US
Practice Address - Phone:765-472-2519
Practice Address - Fax:765-472-3192
Is Sole Proprietor?:No
Enumeration Date:2009-07-16
Last Update Date:2011-07-06
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Provider Licenses
StateLicense IDTaxonomies
IN01021342A207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine