Provider Demographics
NPI:1144652710
Name:KASSIM, RAFIAT (PHARMD)
Entity type:Individual
Prefix:
First Name:RAFIAT
Middle Name:
Last Name:KASSIM
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:15335 PARK ROW APT 1303
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77084-2896
Mailing Address - Country:US
Mailing Address - Phone:281-579-3805
Mailing Address - Fax:
Practice Address - Street 1:12202 WESTHEIMER PARKWAY
Practice Address - Street 2:
Practice Address - City:KATY
Practice Address - State:TX
Practice Address - Zip Code:77405-0000
Practice Address - Country:US
Practice Address - Phone:281-693-6808
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-08-06
Last Update Date:2013-08-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX43819183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist