Healthcare Provider Details

I. General information

NPI: 1326152224
Provider Name (Legal Business Name): RIMA A RACHID M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/18/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

CHILDRENS HOSPITAL 300 LONGWOOD AVE, FEG 6
BOSTON MA
02115
US

IV. Provider business mailing address

50 FOLLEN ST APARTMENT #212
CAMBRIDGE MA
02138-3500
US

V. Phone/Fax

Practice location:
  • Phone: 617-355-6117
  • Fax:
Mailing address:
  • Phone: 617-355-6117
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207K00000X
TaxonomyAllergy & Immunology Physician
License Number217847
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: