Provider Demographics
NPI:1306625751
Name:ALRAFAI, SAQR N (DC)
Entity type:Individual
Prefix:DR
First Name:SAQR
Middle Name:N
Last Name:ALRAFAI
Suffix:
Gender:M
Credentials:DC
Other - Prefix:DR
Other - First Name:SAQR
Other - Middle Name:
Other - Last Name:ALRAFAI
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:
Mailing Address - Street 1:3875 W BEECHWOOD AVE
Mailing Address - Street 2:
Mailing Address - City:FRESNO
Mailing Address - State:CA
Mailing Address - Zip Code:93711-0795
Mailing Address - Country:US
Mailing Address - Phone:800-492-4227
Mailing Address - Fax:
Practice Address - Street 1:1000 CHITTENDEN AVE
Practice Address - Street 2:
Practice Address - City:CORCORAN
Practice Address - State:CA
Practice Address - Zip Code:93212-2407
Practice Address - Country:US
Practice Address - Phone:004-924-2278
Practice Address - Fax:844-672-9226
Is Sole Proprietor?:Yes
Enumeration Date:2023-09-25
Last Update Date:2024-10-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WACH61479962111N00000X
AR16402111N00000X
CADC36964111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor