MEDICARE: RAFIQUDDIN S. RAHIMI MD, P.A.

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	207K00000X	Allergy & Immunology Physician	N5346	TX

General Provider Information

NPI Number	:	1871932145
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	RAFIQUDDIN S. RAHIMI MD, P.A.

Provider Business Mailing Address
First Line	:	3025 E RENNER RD STE 120
Second Line	:
City	:	RICHARDSON
State	:	TX
Zip	:	75082-3581
Country	:	US
Telephone Number	:	972-907-1140
Fax Number	:	214-261-2266

Provider Business Practice Location Address
First Line	:	3025 E RENNER RD STE 120
Second Line	:
City	:	RICHARDSON
State	:	TX
Zip	:	75082-3581
Country	:	US
Telephone Number	:	972-907-1140
Fax Number	:	214-261-2266

Authorized Official
Title or Position	:	OWNER
Name	:	RAFIQUDDIN SYED RAHIMI
Credential	:
Telephone Number	:	972-907-1140

Provider Enumeration Date	:	06/20/2013
Last Update Date	:	01/09/2018

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