Rafia Ali, D.O.

Individual provider Active NPI Internal Medicine Physician · Danville, IL

NPI 1255424768 · NPPES record last updated Jul 8, 2007

Key facts

NPI
1255424768
Entity type
Individual (NPI type 1)
Primary specialty
Internal Medicine Physician 207R00000X
Practice address
1900 E. Main Street
Danville, IL 61832
Phone
(217) 554-3000
NPI assigned
Oct 2, 2006
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Enrolled in IL
Eligible to order & refer
Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20140319002377 IL Order and Referring Only - Internal Medicine
Practitioner - Internal Medicine
8921050717

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Doctor of Osteopathy

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X IL Yes

Addresses

Primary practice location

1900 E. Main Street
Danville, IL 61832

Mailing address

3506 Cambridge Court
Apt. # 205
Danville, IL 61832

Other providers in Danville, IL

All providers in Danville, IL · Internal Medicine Physician in Illinois

Sources for this page

Verify at the official NPI Registry.