Provider Demographics
NPI:1114659844
Name:ISAAC, RAFI
Entity type:Individual
Prefix:MR
First Name:RAFI
Middle Name:
Last Name:ISAAC
Suffix:
Gender:M
Credentials:
Other - Prefix:MR
Other - First Name:RAFI
Other - Middle Name:
Other - Last Name:ABDALAHD
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:159 DUNDAS STREET E
Mailing Address - Street 2:UNIT 505
Mailing Address - City:TORONTO
Mailing Address - State:ONTARIO
Mailing Address - Zip Code:M5B OA9
Mailing Address - Country:CA
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:1201 N. STONEWALL AVE
Practice Address - Street 2:SUITE 230
Practice Address - City:OKLAHOMA CITY
Practice Address - State:OK
Practice Address - Zip Code:73117
Practice Address - Country:US
Practice Address - Phone:405-271-4441
Practice Address - Fax:405-271-1134
Is Sole Proprietor?:Yes
Enumeration Date:2022-06-30
Last Update Date:2023-02-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program