Healthcare Provider Details

I. General information

NPI: 1144029828
Provider Name (Legal Business Name): JOSEPH RAHIMI
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/13/2025
Last Update Date: 08/11/2026
Certification Date: 08/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1100 FLORIDA AVE
NEW ORLEANS LA
70119-2715
US

IV. Provider business mailing address

14940 42ND ST S
AFTON MN
55001-9406
US

V. Phone/Fax

Practice location:
  • Phone: 504-619-8700
  • Fax:
Mailing address:
  • Phone: 651-343-4231
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code122300000X
TaxonomyDentist
License Number7698
License Number StateLA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: