Provider Demographics
NPI:1487272290
Name:RAFIA KHALIL ARTHRITIS & RHEUMATOLOGY CENTER PC
Entity type:Organization
Organization Name:RAFIA KHALIL ARTHRITIS & RHEUMATOLOGY CENTER PC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:MD/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:RAFIA
Authorized Official - Middle Name:
Authorized Official - Last Name:KHALIL
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:810-985-5000
Mailing Address - Street 1:PO BOX 803393
Mailing Address - Street 2:
Mailing Address - City:KANSAS CITY
Mailing Address - State:MO
Mailing Address - Zip Code:64180-3393
Mailing Address - Country:US
Mailing Address - Phone:810-985-5000
Mailing Address - Fax:810-985-3700
Practice Address - Street 1:1201 STONE ST STE 3
Practice Address - Street 2:
Practice Address - City:PORT HURON
Practice Address - State:MI
Practice Address - Zip Code:48060-3563
Practice Address - Country:US
Practice Address - Phone:810-985-5000
Practice Address - Fax:810-985-3700
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:RAFIA KHALIL ARTHRITIS & RHEUMATOLOGY CENTER PC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2020-07-08
Last Update Date:2021-01-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty