Provider Demographics
NPI:1184629420
Name:MUAWWAD, RAFIK D (MD)
Entity type:Individual
Prefix:
First Name:RAFIK
Middle Name:D
Last Name:MUAWWAD
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 1:3062 UNIVERSITY TER NW
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20016-3463
Mailing Address - Country:US
Mailing Address - Phone:202-248-0708
Mailing Address - Fax:
Practice Address - Street 1:120 N 7TH ST
Practice Address - Street 2:SUITE 101
Practice Address - City:CHAMBERSBURG
Practice Address - State:PA
Practice Address - Zip Code:17201-1795
Practice Address - Country:US
Practice Address - Phone:717-263-1220
Practice Address - Fax:717-263-6255
Is Sole Proprietor?:No
Enumeration Date:2005-06-14
Last Update Date:2016-12-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD0029151174400000X
DCMD13820174400000X
VA0101035253174400000X
NH14470174400000X
DEC1-0008580174400000X
NY126602207X00000X
PAMD434872207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
No174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
DC021721100Medicaid
MD440551000Medicaid
VA6438253Medicaid
VA1184629420Medicaid
PA102799836Medicaid
NY03202215Medicaid
DC021721100Medicaid
VAV V G273AMedicare PIN