Provider Demographics
NPI:1942483748
Name:RAEF, HUSSEIN (MD)
Entity Type:Individual
Prefix:DR
First Name:HUSSEIN
Middle Name:
Last Name:RAEF
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:KING FAISAL SPECIALIST HOSPITAL , TAKASSUSI STREET
Mailing Address - Street 2:MBC 46, BOX 3354
Mailing Address - City:RIYADH
Mailing Address - State:CENTRAL REGION
Mailing Address - Zip Code:11211
Mailing Address - Country:SA
Mailing Address - Phone:9661-442-7490
Mailing Address - Fax:9661-442-4771
Practice Address - Street 1:KING FAISAL HOSPITAL, DEPT OF MEDICINE, TAKASSUSI STREE
Practice Address - Street 2:MBC 46, BOX 3354
Practice Address - City:RIYADH
Practice Address - State:CENTRAL PROVINCE
Practice Address - Zip Code:11211
Practice Address - Country:SA
Practice Address - Phone:9661-442-7490
Practice Address - Fax:9661-442-4771
Is Sole Proprietor?:Yes
Enumeration Date:2007-12-14
Last Update Date:2011-06-24
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Provider Licenses
StateLicense IDTaxonomies
ME018237207R00000X
TXH5351207RE0101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No207RE0101XAllopathic & Osteopathic PhysiciansInternal MedicineEndocrinology, Diabetes & Metabolism
Provider Identifiers
StateIdentifier IDID TypeIssuer
ME1942483748Medicaid
ME001259601Medicare PIN