DR. RAFI SOOFI-SIAVASH M.D. NPI 1740282474

NPI Information

NPI: 1740282474
Provider Name: DR. RAFI SOOFI-SIAVASH, M.D.
Classification: Specialist - 174400000X
Entity Type: Individual
Address:
1941 LIMESTONE RD
STE. 203
WILMINGTON, DE
ZIP 19808
Phone: (302) 999-1644
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DR. Rafi Soofi-siavash, M.D. is a specialist in Wilmington, DE. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. DR. Rafi Soofi-siavash, M.D. NPI is 1740282474. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1941 LIMESTONE RD
STE. 203
WILMINGTON, DE
ZIP 19808-400
Phone: (302) 999-1644
Fax: (302) 999-1686

The enumeration date for this NPI number is 8/12/2005 and was last updated on 4/29/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	174400000X	Specialist		C10001828	DELAWARE	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State
1	B66492	MEDICARE UPIN	DELAWARE
2	0751750001	MEDICARE NSC	DELAWARE
3	0000020801	MEDICAID	DELAWARE
4	129324	MEDICARE ID-TYPE UNSPECIFIED	DELAWARE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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