Provider Demographics
NPI:1497963227
Name:CANADAS, RAFAEL (MD)
Entity type:Individual
Prefix:DR
First Name:RAFAEL
Middle Name:
Last Name:CANADAS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:3800 FAIRFAX DR
Mailing Address - Street 2:SUITE #3
Mailing Address - City:ARLINGTON
Mailing Address - State:VA
Mailing Address - Zip Code:22203-1711
Mailing Address - Country:US
Mailing Address - Phone:703-525-0018
Mailing Address - Fax:703-525-1229
Practice Address - Street 1:3800 FAIRFAX DR
Practice Address - Street 2:SUITE #3
Practice Address - City:ARLINGTON
Practice Address - State:VA
Practice Address - Zip Code:22203-1711
Practice Address - Country:US
Practice Address - Phone:703-525-0018
Practice Address - Fax:703-525-1229
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-17
Last Update Date:2007-07-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
VA0101037148207QH0002X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207QH0002XAllopathic & Osteopathic PhysiciansFamily MedicineHospice and Palliative Medicine