Healthcare Provider Details

I. General information

NPI: 1801951868
Provider Name (Legal Business Name): ARASH RAHI MD,MSC,FACOG,FPMRS
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/27/2006
Last Update Date: 04/08/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5300 W HILLSBORO BLVD SUITE 207
COCONUT CREEK FL
33073-4395
US

IV. Provider business mailing address

5300 W HILLSBORO BLVD SUITE 207
COCONUT CREEK FL
33073-4395
US

V. Phone/Fax

Practice location:
  • Phone: 954-570-7644
  • Fax: 954-570-7884
Mailing address:
  • Phone: 954-570-7644
  • Fax: 954-570-7884

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207VF0040X
TaxonomyUrogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician
License Number243015
License Number StateNY
# 2
Primary TaxonomyY
Taxonomy Code207VF0040X
TaxonomyUrogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician
License Number125645
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: