Provider Demographics
NPI:1124517636
Name:RAFIQ, HIBA TUR
Entity type:Individual
Prefix:
First Name:HIBA
Middle Name:TUR
Last Name:RAFIQ
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:117 AUSTIN DR
Mailing Address - Street 2:
Mailing Address - City:STAFFORD
Mailing Address - State:VA
Mailing Address - Zip Code:22556-1332
Mailing Address - Country:US
Mailing Address - Phone:540-779-0211
Mailing Address - Fax:540-779-0218
Practice Address - Street 1:117 AUSTIN DR
Practice Address - Street 2:
Practice Address - City:STAFFORD
Practice Address - State:VA
Practice Address - Zip Code:22556-1332
Practice Address - Country:US
Practice Address - Phone:540-779-0211
Practice Address - Fax:540-779-0218
Is Sole Proprietor?:No
Enumeration Date:2018-05-09
Last Update Date:2018-05-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
E1518071146N00000X
VAT67345169172A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes172A00000XOther Service ProvidersDriver
No146N00000XEmergency Medical Service ProvidersEmergency Medical Technician, Basic