Active NPIIndividual providerSole proprietor

Rafael Enukashvili, MD

Internal Medicine in Morganville, New Jersey

NPI Number1073554838
Practice location
21 Kilmer Drive, Bldg 2 Suite C, Morganville, NJ 07751-1568
Fax
732-617-2987
Last updated
November 2, 2007

Rafael Enukashvili is an Internal Medicine based in Morganville, NJ. Rafael Enukashvili practices in Morganville, NJ and has the professional credentials of MD. The NPI Number for Rafael Enukashvili is 1073554838 and holds a License No. MA064386 (NJ). The current practice location address for Rafael Enukashvili is 21 Kilmer Drive, Bldg 2 Suite C, Morganville, NJ 07751-1568 and can be reached out via phone at 732-617-2988 and via fax at 732-617-2987.

Provider Profile Details

NPI Number
1073554838
Provider Name
Rafael Enukashvili
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
21 Kilmer Drive, Bldg 2 Suite C, Morganville, NJ 07751-1568
Phone Number
732-617-2988
Fax Number
732-617-2987
Primary Taxonomy
Internal Medicine · 207R00000X
Sole Proprietor
Yes
Provider Enumeration Date
June 10, 2006
Last Update Date
November 2, 2007
NPI Status
Active

Provider Business Practice Location Address Details

Address
21 Kilmer Drive
Bldg 2 Suite C
Morganville, NJ 07751-1568
Zip
07751-1568
Phone Number
732-617-2988
Fax Number
732-617-2987
Morganville, NJ 07751Get directions →

Provider Business Mailing Address Details

Address
21 Kilmer Drive
Bldg 2 Suite C
Morganville, NJ 07751-1568
City
Morganville
State
NJ
Zip
07751-1568
Phone Number
732-617-2988
Fax Number
732-617-2987

License Information

License Number
MA064386
License State
NJ
Taxonomy
Internal Medicine · 207R00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Rafael Enukashvili, MD?

The NPI number of Rafael Enukashvili, MD is 1073554838. It was assigned on June 10, 2006 and is currently active in the NPPES registry.

What is the specialty of Rafael Enukashvili, MD?

Rafael Enukashvili, MD is registered under the primary taxonomy Internal Medicine (code 207R00000X), licensed in NJ under license number MA064386.

Where does Rafael Enukashvili, MD practice?

The practice location is 21 Kilmer Drive, Bldg 2 Suite C, Morganville, NJ 07751-1568. The office can be reached at 732-617-2988 (phone) or 732-617-2987 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1073554838 directly on the NPPES registry website.

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