Provider Demographics
NPI:1679596910
Name:QURAISHI, RAFATH (MD)
Entity Type:Individual
Prefix:
First Name:RAFATH
Middle Name:
Last Name:QURAISHI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 8215
Mailing Address - Street 2:
Mailing Address - City:WESLACO
Mailing Address - State:TX
Mailing Address - Zip Code:78596-8215
Mailing Address - Country:US
Mailing Address - Phone:956-973-9696
Mailing Address - Fax:956-973-9616
Practice Address - Street 1:1125 S JAMES ST
Practice Address - Street 2:A
Practice Address - City:WESLACO
Practice Address - State:TX
Practice Address - Zip Code:78596-6657
Practice Address - Country:US
Practice Address - Phone:956-973-9696
Practice Address - Fax:956-973-9616
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-26
Last Update Date:2023-08-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXK73742085R0202X, 2085B0100X, 2085N0700X, 2085P0229X, 2085R0001X, 2085R0203X, 2085R0205X, 2085U0001X, 208VP0014X, 2085R0204X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0204XAllopathic & Osteopathic PhysiciansRadiologyVascular & Interventional Radiology
No2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology
No2085B0100XAllopathic & Osteopathic PhysiciansRadiologyBody Imaging
No2085N0700XAllopathic & Osteopathic PhysiciansRadiologyNeuroradiology
No2085P0229XAllopathic & Osteopathic PhysiciansRadiologyPediatric Radiology
No2085R0001XAllopathic & Osteopathic PhysiciansRadiologyRadiation Oncology
No2085R0203XAllopathic & Osteopathic PhysiciansRadiologyTherapeutic Radiology
No2085R0205XAllopathic & Osteopathic PhysiciansRadiologyRadiological Physics
No2085U0001XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Ultrasound
No208VP0014XAllopathic & Osteopathic PhysiciansPain MedicineInterventional Pain Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX0049GEOtherBCBS
TX0063764OtherBLUELINK
TX047213602Medicaid
TX047213602Medicaid
TX00716MMedicare PIN