Healthcare Provider Details

I. General information

NPI: 1326027509
Provider Name (Legal Business Name): ARMIN RAHIMI DO
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/16/2006
Last Update Date: 03/26/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

232 S WOODS MILL RD STE 400 E
CHESTERFIELD MO
63017-3417
US

IV. Provider business mailing address

232 S WOODS MILL RD STE 400 E
CHESTERFIELD MO
63017-3417
US

V. Phone/Fax

Practice location:
  • Phone: 314-205-6744
  • Fax: 314-205-6745
Mailing address:
  • Phone: 314-205-6744
  • Fax: 314-205-6745

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207L00000X
TaxonomyAnesthesiology Physician
License Number111286
License Number StateMO
# 2
Primary TaxonomyY
Taxonomy Code208VP0014X
TaxonomyInterventional Pain Medicine Physician
License Number111286
License Number StateMO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: