Healthcare Provider Details

I. General information

NPI: 1689598187
Provider Name (Legal Business Name): MOHAMMED SALIM RAHIMI
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

Provider Other Name: MOHAMMED RAHIMI

II. Dates (important events)

Enumeration Date: 08/06/2026
Last Update Date: 08/12/2026
Certification Date: 08/12/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1270 W SILVERLAKE RD
TUCSON AZ
85713-2728
US

IV. Provider business mailing address

3136 N DASYLIRION DR
TUCSON AZ
85745-0032
US

V. Phone/Fax

Practice location:
  • Phone: 520-351-8111
  • Fax:
Mailing address:
  • Phone: 520-338-5183
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number233052
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: