Healthcare Provider Details

I. General information

NPI: 1376864512
Provider Name (Legal Business Name): RAHEEL BENGALI MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/22/2010
Last Update Date: 09/11/2025
Certification Date: 09/11/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

21038 US HIGHWAY 281 N STE 100
SAN ANTONIO TX
78258-7556
US

IV. Provider business mailing address

8522 BROADWAY STE 216
SAN ANTONIO TX
78217-6456
US

V. Phone/Fax

Practice location:
  • Phone: 210-874-5260
  • Fax: 210-864-4838
Mailing address:
  • Phone: 210-874-5260
  • Fax: 210-864-4838

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208VP0014X
TaxonomyInterventional Pain Medicine Physician
License NumberQ2515
License Number StateTX
# 2
Primary TaxonomyN
Taxonomy Code207LP2900X
TaxonomyPain Medicine (Anesthesiology) Physician
License NumberQ2515
License Number StateTX
# 3
Primary TaxonomyN
Taxonomy Code174400000X
TaxonomySpecialist
License NumberQ2515
License Number StateTX
# 4
Primary TaxonomyN
Taxonomy Code207L00000X
TaxonomyAnesthesiology Physician
License NumberQ2515
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: