Provider Demographics
NPI:1801825237
Name:AL-REFAIE, WADDAH BADIR (MD)
Entity Type:Individual
Prefix:DR
First Name:WADDAH
Middle Name:BADIR
Last Name:AL-REFAIE
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 1:3800 RESERVOIR RD NW # PHC4
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20007-2113
Mailing Address - Country:US
Mailing Address - Phone:202-444-0820
Mailing Address - Fax:877-376-2418
Practice Address - Street 1:3800 RESERVOIR RD NW # PHC4
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20007-2113
Practice Address - Country:US
Practice Address - Phone:202-295-0560
Practice Address - Fax:877-376-2418
Is Sole Proprietor?:No
Enumeration Date:2006-06-30
Last Update Date:2018-11-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA77475208600000X, 2086X0206X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2086X0206XAllopathic & Osteopathic PhysiciansSurgerySurgical Oncology
No208600000XAllopathic & Osteopathic PhysiciansSurgery