Provider Demographics
NPI:1053873745
Name:RIFAI, FAREED (MD)
Entity type:Individual
Prefix:
First Name:FAREED
Middle Name:
Last Name:RIFAI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6100 N DAVIS HWY
Mailing Address - Street 2:
Mailing Address - City:PENSACOLA
Mailing Address - State:FL
Mailing Address - Zip Code:32504-6950
Mailing Address - Country:US
Mailing Address - Phone:850-607-6841
Mailing Address - Fax:850-637-1054
Practice Address - Street 1:6100 N DAVIS HWY
Practice Address - Street 2:
Practice Address - City:PENSACOLA
Practice Address - State:FL
Practice Address - Zip Code:32504-6950
Practice Address - Country:US
Practice Address - Phone:850-607-6841
Practice Address - Fax:850-637-1054
Is Sole Proprietor?:No
Enumeration Date:2019-04-02
Last Update Date:2025-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY57632207W00000X
390200000X
FLME164034207WX0107X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207WX0107XAllopathic & Osteopathic PhysiciansOphthalmologyRetina Specialist
No207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program