Provider Demographics
NPI:1508014275
Name:ROUFEH, RAMIN (MD)
Entity Type:Individual
Prefix:
First Name:RAMIN
Middle Name:
Last Name:ROUFEH
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 1:6124 W PARKER ROAD
Mailing Address - Street 2:STE. 138
Mailing Address - City:PLANO
Mailing Address - State:TX
Mailing Address - Zip Code:75093-8124
Mailing Address - Country:US
Mailing Address - Phone:972-981-7000
Mailing Address - Fax:972-981-7001
Practice Address - Street 1:6124 W PARKER RD STE 138
Practice Address - Street 2:
Practice Address - City:PLANO
Practice Address - State:TX
Practice Address - Zip Code:75093-8124
Practice Address - Country:US
Practice Address - Phone:972-981-7000
Practice Address - Fax:972-981-7001
Is Sole Proprietor?:No
Enumeration Date:2008-09-05
Last Update Date:2024-05-06
Deactivation Date:2024-04-02
Deactivation Code:
Reactivation Date:2024-04-12
Provider Licenses
StateLicense IDTaxonomies
TXN4048207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine