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General NPI Number Information
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NPI Number | 1760043640
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Entity Type | Individual
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Provider Name | RAHIM JIWANI MD
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Gender | Male
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Dates
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Enumeration Date | 06/22/2019
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Last Update Date | 06/18/2025
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Provider Practice Location Address
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Address Line | 875 OAK ST SE STE 4030
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City | SALEM
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State | OR
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Zip | 97301-3984
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Country | US
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Telephone | 503-561-6444
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Fax |
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Provider Business Mailing Address
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Address Line | 2100 STANTONSBURG RD
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City | GREENVILLE
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State | NC
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Zip | 27834-2818
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RH0003X
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Taxonomy Name | Hematology & Oncology Physician
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License Number | MD222969
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License Number State | OR
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