Provider Demographics
NPI:1760590640
Name:RAFI, ARIF M (MD)
Entity Type:Individual
Prefix:
First Name:ARIF
Middle Name:M
Last Name:RAFI
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 1:3421 CONCORD RD
Mailing Address - Street 2:
Mailing Address - City:YORK
Mailing Address - State:PA
Mailing Address - Zip Code:17402-9001
Mailing Address - Country:US
Mailing Address - Phone:717-812-7687
Mailing Address - Fax:717-851-5250
Practice Address - Street 1:2570 HAYMAKER RD
Practice Address - Street 2:
Practice Address - City:MONROEVILLE
Practice Address - State:PA
Practice Address - Zip Code:15146-3513
Practice Address - Country:US
Practice Address - Phone:412-578-5323
Practice Address - Fax:412-578-4981
Is Sole Proprietor?:No
Enumeration Date:2006-08-29
Last Update Date:2024-03-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAFR1748651207L00000X
PA433281207LP2900X, 208VP0014X
PAMD433281207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology
No207LP2900XAllopathic & Osteopathic PhysiciansAnesthesiologyPain Medicine
No208VP0014XAllopathic & Osteopathic PhysiciansPain MedicineInterventional Pain Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH2730325Medicaid
PAPENDINGMedicaid
WVPO00606981OtherRR MEDICARE
OHP00609416OtherRR MEDICARE OH
WVPO00606981OtherRR MEDICARE
PAPENDINGMedicaid
PA175847Medicare PIN
KYH79093Medicare UPIN
WV4224333Medicare PIN