Provider Demographics
NPI:1942659594
Name:KHAN, RAFIA R (MD)
Entity Type:Individual
Prefix:DR
First Name:RAFIA
Middle Name:R
Last Name:KHAN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4422 3RD AVE BLDG 3
Mailing Address - Street 2:DEPT OF INTERNAL MEDICINE
Mailing Address - City:BRONX
Mailing Address - State:NY
Mailing Address - Zip Code:10457-2545
Mailing Address - Country:US
Mailing Address - Phone:408-797-5558
Mailing Address - Fax:
Practice Address - Street 1:4422 3RD AVE BLDG 3
Practice Address - Street 2:DEPT OF INTERNAL MEDICINE
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10457-2545
Practice Address - Country:US
Practice Address - Phone:408-797-5558
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-06-05
Last Update Date:2022-02-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program