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General NPI Number Information
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NPI Number | 1609329887
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Entity Type | Organization
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Legal Business Name | FIONA RAHBAR MD LLC
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Dates
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Enumeration Date | 07/25/2016
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Last Update Date | 07/25/2016
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Provider Practice Location Address
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Address Line | 635 SAINT ANDREWS BLVD
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City | CHARLESTON
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State | SC
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Zip | 29407-7174
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Country | US
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Telephone | 843-402-9200
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 32427
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City | CHARLESTON
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State | SC
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Zip | 29417-2427
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Country | US
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Telephone | 843-402-9200
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Fax |
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Authorized Official
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Title or Position | PHYSICIAN
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Name | FIONA RAHBAR
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Credential | MD
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Telephone | 404-660-7866
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207N00000X
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Taxonomy Name | Dermatology Physician
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License Number | 39318
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License Number State | SC
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