Provider Demographics
NPI:1710456488
Name:ABUNAMEH SAFADI, RAHAF AMIR
Entity Type:Individual
Prefix:
First Name:RAHAF
Middle Name:AMIR
Last Name:ABUNAMEH SAFADI
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8826 RED SPRUCE WAY
Mailing Address - Street 2:
Mailing Address - City:JESSUP
Mailing Address - State:MD
Mailing Address - Zip Code:20794-4902
Mailing Address - Country:US
Mailing Address - Phone:443-655-8955
Mailing Address - Fax:
Practice Address - Street 1:7005 SECURITY BLVD
Practice Address - Street 2:
Practice Address - City:WINDSOR MILL
Practice Address - State:MD
Practice Address - Zip Code:21244-2533
Practice Address - Country:US
Practice Address - Phone:410-298-4759
Practice Address - Fax:410-298-4942
Is Sole Proprietor?:No
Enumeration Date:2018-11-25
Last Update Date:2018-11-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD23047183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist