ROUCHDI M RIFAI (NPI# 1083779623) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083779623 |
| Entity Type | Individual |
| Full Name | ROUCHDI M RIFAI |
| Credential | MD |
| Practice Address |
30603 Southfield Rd Southfield MI 48076-7729 |
| Practice Telephone | 2487239370 |
| Practice Fax Number | 2487239687 |
| Mailing Telephone | 2487239370 |
| Mailing Fax Number | 2487239687 |
| Enumeration Date | 2006-12-26 |
| Last Update Date | 2009-02-28 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 208200000X | Plastic Surgery | 4301047649 | MI | Allopathic & Osteopathic Physicians |
| Y | 2086S0122X |
Surgery Specialization: Plastic and Reconstructive Surgery |
4301047649 | MI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | LICENSE | 4301047649 | 01 |
| Street Address |
30603 SOUTHFIELD RD |
| City | SOUTHFIELD |
| State | MI |
| Zip Code | 48076-7729 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114979515 | Mariam Awada | Plastic Surgery | 30603 Southfield Rd, Southfield, MI 48076-7729 | 2006-05-16 |
| 1902397334 | Integritas Wellness Institute Plc | Internal Medicine | 30603 Southfield Rd, Southfield, MI 48076-7729 | 2018-05-22 |
| 1174776033 | Plastic Surgery Affiliates PC | Anesthesiology | 30603 Southfield Rd, Southfield, MI 48076-7729 | 2008-10-23 |
| 1699805556 | Michigan Cosmetic & Reconstructive | Plastic Surgery | 30603 Southfield Rd, Southfield, MI 48076-7729 | 2007-03-07 |
| 1952431744 | Birmingham Cosmetic Surgery LLC | Plastic Surgery | 30603 Southfield Rd, Southfield, MI 48076-7729 | 2007-03-07 |
| 1770529232 | Hashim M Alani | Plastic Surgery | 30603 Southfield Rd, Southfield, MI 48076-7729 | 2006-06-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942813753 | Elaine Sarah Kahn | Social Worker | 15999 West Twelve Mile Rd, Southfield, MI 48076 | 2020-08-31 |
| 1295353829 | Marian Hannah Ibrahim | Dentist | 19189 W 12 Mile Rd, Lathrup Village, MI 48076 | 2020-07-09 |
| 1699317669 | Meadow Lane Rehabilitative Therapies LLC | Social Worker | 29895 Greenfield Rd., Suite 104b, Southfield, MI 48076 | 2019-10-11 |
| 1760035752 | Taliah Laneice Williams-hunter | Counselor | 30119 Sparkleberry Dr., Southfield, MI 48076 | 2019-07-19 |
| 1386114742 | Mavis Gail Pookrum | Technician | 21732 Colony Park Circle #105, Southfield, MI 48076 | 2018-11-28 |
| 1861962417 | Millennial Infusion Centers Inc | Clinic/Center | 26250 Northwestern Hwy Ste 201, Southfield, MI 48076 | 2018-11-27 |
| 1215429212 | Debra Deanes | Counselor | 30233 Southfiels Rd, 203, Southfield, MI 48076 | 2018-06-05 |
| 1437675758 | Kenneth Gerard Giles | Counselor | 29532 Southfield Rd. Suite 208, Southfield, MI 48076 | 2017-08-17 |
| 1902346836 | Linsk Psychiatry Services P C | Clinic/Center | 21751 W 12 Mile Rd, Suite 205, Southfield, MI 48076 | 2017-02-25 |
| 1023552361 | Massage Serenity | Community/Behavioral Health | 20245 W. 12 Mile Rd, Suite 113, Southfield, MI 48076 | 2016-12-06 |
| Find all providers in zip 48076 | ||||
| Taxonomy Code | 2086S0122X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| Specialization | Plastic and Reconstructive Surgery |
| A surgeon who specializes in plastic and reconstructive surgery. |
| Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A General Certificate is issued by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902072952 | Michigan Cosmetic & Reconstructive Surgery Pllc | Surgery | 29110 Inkster Rd, Ste 250, Southfield, MI 48034-1098 | 2008-04-30 |
| 1518184175 | Halil Ibrahim Canter | Surgery | 16001 West 9 Mile Rd., 3 Fl Fischer Ctr Providence Hosp. Craniofacial Inst., Southfield, MI 48075 | 2007-04-18 |
| 1144618075 | Derosa Plastic Surgery, Pllc | Surgery | 22401 Foster Winter Dr, Southfield, MI 48075-3724 | 2014-12-30 |
| 1851539357 | Eti Gursel Md PC | Surgery | 26699 W 12 Mile Rd, Suite 201 248-358-1491, Southfield, MI 48034-1578 | 2009-01-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629528765 | Paragon Health, P.C. | Surgery | 8175 Creekside Dr Ste 100, Portage, MI 49024-5370 | 2016-10-13 |
| 1487091989 | Trevor K O'brien | Surgery | 4110 Copper Ridge Dr Ste 242, Traverse City, MI 49684-6721 | 2013-05-24 |
| 1851689525 | Robert Moore Oneal | Surgery | 501 Onondaga St, Ann Arbor, MI 48104-2606 | 2011-07-15 |
| 1285756148 | Andrea Emma Van Pelt | Surgery | 4070 Lake Drive Se, Suite 202, Grand Rapids, MI 49546 | 2007-04-04 |
| 1083741367 | Kenneth Wolf | Surgery | 1990 Union Lake Rd Ste 200, Commerce Township, MI 48382-2200 | 2007-02-27 |
| 1972630259 | Lauran Bryan | Surgery | 26711 Woodward Ave Ste Ll1, Huntington Woods, MI 48070-1370 | 2007-02-27 |
| 1689761439 | John J Iacobucci | Surgery | 221 Michigan St Ne Ste 300, Grand Rapids, MI 49503-2537 | 2006-10-05 |
| 1710996319 | Ewa D Komorowska-timek | Surgery | 3855 Burton St Se Ste A, Grand Rapids, MI 49546-5816 | 2006-08-05 |
| 1689689259 | Milena Diana Lambie | Surgery | 27750 Middlebelt Rd Ste 150, Farmington Hills, MI 48334-5007 | 2006-07-30 |
| 1891739363 | Benjamin P Rechner Md PC | Surgery | 985 Parchment Dr Se, Grand Rapids, MI 49546-3659 | 2006-06-15 |
| Find all providers with the same taxonomy | ||||
| City | SOUTHFIELD |
| Zip Code | 48076 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.