Individual provider · Type 1 NPI

Rafat Raad Dallo, MD

Student in an Organized Health Care Education/Training Program · Pontiac, MI

NPI number 1386222693 Active

Practice location

44405 Woodward Ave
Pontiac, MI 48341-5023

Call (248) 858-3235 Map

Other practice locations

  • 22101 Moross Rd Ste 50, Detroit, MI 48236-2148 · (313) 343-7774

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1386222693

Rafat Raad Dallo, MD's National Provider Identifier is 1386222693, issued on Mar 30, 2021. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Pontiac, MI. The record was last updated on Jun 4, 2024.