Basic Information
Provider Information
NPI: 1619095841
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: RAYES
FirstName: BILAL
MiddleName: RAFIC
NamePrefix: DR.
NameSuffix:  
Credential: MD
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 8816 FOOTHILL BLVD STE 103
Address2:  
City: RANCHO CUCAMONGA
State: CA
PostalCode: 917307199
CountryCode: US
TelephoneNumber: 9095796753
FaxNumber: 9096941045
Practice Location
Address1: 999 SAN BERNARDINO RD
Address2:  
City: UPLAND
State: CA
PostalCode: 917864920
CountryCode: US
TelephoneNumber: 5622362999
FaxNumber: 8882283419
Other Information
ProviderEnumerationDate: 03/26/2007
LastUpdateDate: 06/23/2021
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 06/23/2021

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207R00000XA104429CAN Allopathic & Osteopathic PhysiciansInternal Medicine 
207RH0002XA104429CAN Allopathic & Osteopathic PhysiciansInternal MedicineHospice and Palliative Medicine
2083B0002XA104429CAN    
208M00000X37463AZN Allopathic & Osteopathic PhysiciansHospitalist 
208M00000XA104429CAY Allopathic & Osteopathic PhysiciansHospitalist 

No ID Information.


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