Healthcare Provider Details

I. General information

NPI: 1023261062
Provider Name (Legal Business Name): SANIA RAHIM-GILANI MD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: SANIA RAHIM MD

II. Dates (important events)

Enumeration Date: 11/03/2008
Last Update Date: 05/09/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

21214 NORTHWEST FWY
CYPRESS TX
77429-3373
US

IV. Provider business mailing address

6550 FANNIN, SM 1001
HOUSTON TX
77030
US

V. Phone/Fax

Practice location:
  • Phone: 713-441-7558
  • Fax:
Mailing address:
  • Phone: 713-441-5114
  • Fax: 713-790-6615

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2085R0202X
TaxonomyDiagnostic Radiology Physician
License NumberQ3425
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: