Provider Demographics
NPI:1891090049
Name:RAFIQUE BHUIYAN MEDICAL P.C.
Entity Type:Organization
Organization Name:RAFIQUE BHUIYAN MEDICAL P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:RAFIQUE
Authorized Official - Middle Name:AHMED
Authorized Official - Last Name:BHUIYAN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:718-205-8700
Mailing Address - Street 1:7013 37TH AVE
Mailing Address - Street 2:
Mailing Address - City:JACKSON HEIGHTS
Mailing Address - State:NY
Mailing Address - Zip Code:11372-3922
Mailing Address - Country:US
Mailing Address - Phone:718-205-8700
Mailing Address - Fax:718-205-8702
Practice Address - Street 1:7013 37TH AVE
Practice Address - Street 2:
Practice Address - City:JACKSON HEIGHTS
Practice Address - State:NY
Practice Address - Zip Code:11372-3922
Practice Address - Country:US
Practice Address - Phone:718-205-8700
Practice Address - Fax:718-205-8702
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-01-19
Last Update Date:2012-10-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY258403207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty