Rawan Khanafer

Primary specialty

Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X

License

5302042838 Issued in MI

Practice address

220 Ferris Dr
Big Rapids, MI 49307-2740

Phone

(231) 591-3780

NPI assigned

Apr 17, 2017

Last updated

Apr 17, 2017By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1492387200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1492387200000",
    "number": "1912431982",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6000 CAMPUS DR",
            "city": "DEARBORN HEIGHTS",
            "state": "MI",
            "postal_code": "481272550",
            "telephone_number": "313-663-9760"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "220 FERRIS DR",
            "city": "BIG RAPIDS",
            "state": "MI",
            "postal_code": "493072740",
            "telephone_number": "231-591-3780"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHANAFER",
        "first_name": "RAWAN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-04-17",
        "last_updated": "2017-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "MI",
            "license": "5302042838",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jacob McClure Kennard
• Katrina Kent
• Christopher W Kesting, CRNA
• Andria Keusch, P.A.C.
• Christa Keys
• Daniel Michael Killian, CNP
• Tyler Kime, PHARM.D.
• Thomas Francis Klimek, OD
• Grace Lynn Knapp
• Jennifer Lynn Kohn

• Student in an Organized Health Care Education/Training Program in Big Rapids, MI
• Providers in Big Rapids, MI by specialty
• Student in an Organized Health Care Education/Training Program in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.