RAFAT RAAD DALLO MD
NPI 1386222693
Student in an Organized Health Care Education/Training Program in Pontiac, MI

Q: What is Rafat Dallo's NPI number?

The NPI number for Rafat Dallo is 1386222693. It was assigned to this individual provider in the NPPES registry on March 30, 2021.

Q: What is Rafat Dallo's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Q: When was this NPI record last updated?

The NPPES record for Rafat Dallo was last updated on June 4, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since March 30, 2021PECOS Enrolled

44405 WOODWARD AVE, PONTIAC, MI 48341(248) 858-3235 Get Directions Write a Review

NPPES record last updated: June 4, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 4, 2024, Mar 30, 2021 (2 updates tracked since 2021).

On this page

About Rafat Raad Dallo Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

RAFAT RAAD DALLO MD (NPI 1386222693) is an individual student in an organized health care education/training program in Pontiac, Michigan and active in the NPI registry since March 2021. He is enrolled in Medicare PECOS and maintains a secondary practice location in Detroit.

NPPES Registry Identity

NPI1386222693

Entity TypeIndividualMale

Primary Taxonomy390200000X

Provider Legal NameRAFAT RAAD DALLOCredential: MD

Location Address44405 WOODWARD AVEPontiac, MI 48341-5023

Mailing Address44405 Woodward AvePontiac, MI 48341-5023

Phone(248) 858-3235

Sole ProprietorNo

Enumeration DateMarch 30, 2021

Last NPPES UpdateJune 4, 20242 updates tracked since enumeration

NPPES CertifiedJune 4, 2024

✔ NPI 1386222693 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

Taxonomy Code390200000X

Definition

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.

44405 WOODWARD AVE, Pontiac, MI 48341

Open in Google Maps ↗

Secondary Practice Location 1

Location 122101 Moross Rd Ste 50Detroit, MI 48236-2148 · Phone (313) 343-7774 · Fax (313) 343-8747

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Rafat Raad Dallo Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. KRASSIMIR LALEV DENCHEV M.D.

Anesthesiology (Critical Care Medicine)