| Shahida Rafiq, Md | |
|
875 Cotswolds Ct Richardson TX 75081-5062 | |
| (214) 597-7797 | |
| (214) 432-9011 |
| Full Name | Shahida Rafiq, Md |
|---|---|
| Speciality | Family Medicine |
| Location | 875 Cotswolds Ct, Richardson, Texas |
| Authorized Official Name and Position | Shahida Rafiq (OWNER) |
| Authorized Official Contact | 2145977797 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Shahida Rafiq, Md Po Box 830050 Richardson TX 75083-0050 Ph: (214) 597-7797 | Shahida Rafiq, Md 875 Cotswolds Ct Richardson TX 75081-5062 Ph: (214) 597-7797 |
| NPI Number | 1578752804 |
|---|---|
| Provider Enumeration Date | 10/23/2007 |
| Last Update Date | 12/06/2007 |
| Medicare PECOS PAC ID | 1254244775 |
|---|---|
| Medicare Enrollment ID | O20031111000247 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578752804 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | K9879 (Texas) | Primary |
| Provider Name | Shahida Rafiq |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1134165988 PECOS PAC ID: 4587577002 Enrollment ID: I20031118000076 |
| Provider Name | Caroline C Kibore |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497306385 PECOS PAC ID: 2961834064 Enrollment ID: I20191111002550 |
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