Provider Demographics
NPI:1225290380
Name:RAFIEI, POYAN (MD)
Entity type:Individual
Prefix:
First Name:POYAN
Middle Name:
Last Name:RAFIEI
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 1:19826 LANDON BROOK CT
Mailing Address - Street 2:
Mailing Address - City:KATY
Mailing Address - State:TX
Mailing Address - Zip Code:77450-1494
Mailing Address - Country:US
Mailing Address - Phone:214-886-9338
Mailing Address - Fax:
Practice Address - Street 1:142 BELLA KATY DR
Practice Address - Street 2:
Practice Address - City:KATY
Practice Address - State:TX
Practice Address - Zip Code:77494-6819
Practice Address - Country:US
Practice Address - Phone:214-886-9338
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-06-30
Last Update Date:2025-04-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WY17046C2085R0202X
ND211722085R0202X
GUMC-2382085R0202X
MN770942085R0202X
TXP46972085R0204X
IAMD-532502085R0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology
No2085R0204XAllopathic & Osteopathic PhysiciansRadiologyVascular & Interventional Radiology