Mr Mahammad Rafi Shaik, PT | |
152 Columbia Ave, Jersey City, NJ 07307-4019 | |
(601) 259-6576 | |
Not Available |
Full Name | Mr Mahammad Rafi Shaik |
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Gender | Male |
Speciality | Physical Therapist |
Location | 152 Columbia Ave, Jersey City, New Jersey |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1386036507 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 038534 (New York) | Primary |
Provider Name | Paragon Outpatient Rehabilitation Services, Llc |
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Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1871867325 PECOS PAC ID: 8022272848 Enrollment ID: O20220822000895 |
Mailing Address | Practice Location Address |
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Mr Mahammad Rafi Shaik, PT 152 Columbia Ave, Jersey City, NJ 07307-4019 Ph: (601) 259-6576 | Mr Mahammad Rafi Shaik, PT 152 Columbia Ave, Jersey City, NJ 07307-4019 Ph: (601) 259-6576 |
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