MEDICARE: DR. SELMA RAHEEM M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2084P0804X	Child & Adolescent Psychiatry Physician	N1088	TX

General Provider Information

NPI Number	:	1699986109
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. SELMA RAHEEM M.D.

Provider Business Mailing Address
First Line	:	3129 KINGSLEY DR STE 1730
Second Line	:
City	:	PEARLAND
State	:	TX
Zip	:	77584-8511
Country	:	US
Telephone Number	:	832-947-3562
Fax Number	:

Provider Business Practice Location Address
First Line	:	3129 KINGSLEY DR STE 1730
Second Line	:
City	:	PEARLAND
State	:	TX
Zip	:	77584-8511
Country	:	US
Telephone Number	:	832-947-3562
Fax Number	:	832-947-1117

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/25/2007
Last Update Date	:	08/01/2022

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