Provider Demographics
NPI:1780315374
Name:ABOONA, RAFI SALIM ESTTAIFAN (MD)
Entity type:Individual
Prefix:
First Name:RAFI
Middle Name:SALIM ESTTAIFAN
Last Name:ABOONA
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Gender:M
Credentials:MD
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Mailing Address - Street 1:22250 PROVIDENCE DR3PMB SUITE #301 ACADEMIC INTERNAL ME
Mailing Address - Street 2:ACADEMIC INTERNAL MEDICINE
Mailing Address - City:SOUTHFIELD
Mailing Address - State:MI
Mailing Address - Zip Code:48075-4818
Mailing Address - Country:US
Mailing Address - Phone:248-849-3281
Mailing Address - Fax:248-849-5449
Practice Address - Street 1:22250 PROVIDENCE DR3PMB SUITE #301
Practice Address - Street 2:ACADEMIC INTERNAL MEDICINE
Practice Address - City:SOUTHFIELD
Practice Address - State:MI
Practice Address - Zip Code:48075-4818
Practice Address - Country:US
Practice Address - Phone:248-849-3281
Practice Address - Fax:248-849-5449
Is Sole Proprietor?:No
Enumeration Date:2022-06-23
Last Update Date:2022-08-05
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Provider Licenses
StateLicense IDTaxonomies
MI4351049344207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine