Healthcare Provider Details

I. General information

NPI: 1306125190
Provider Name (Legal Business Name): HITHEM RAHMI D.O.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/10/2011
Last Update Date: 10/04/2024
Certification Date: 10/04/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

801 OSTRUM ST STE 2
BETHLEHEM PA
18015-1000
US

IV. Provider business mailing address

801 OSTRUM ST STE 2
BETHLEHEM PA
18015-1000
US

V. Phone/Fax

Practice location:
  • Phone: 484-526-1735
  • Fax: 484-526-5242
Mailing address:
  • Phone: 484-526-1735
  • Fax: 484-526-5242

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207X00000X
TaxonomyOrthopaedic Surgery Physician
License NumberOS018871
License Number StatePA
# 2
Primary TaxonomyN
Taxonomy Code207X00000X
TaxonomyOrthopaedic Surgery Physician
License NumberOT014266
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: