MEDICARE: FAHD RAWRA MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2084P0800X	Psychiatry Physician	14418C	WY
2	2084P0800X	Psychiatry Physician	MD48295	IA
3	2084P0800X	Psychiatry Physician	CP839	NE
4	2084P0800X	Psychiatry Physician	OK40548	OK
5	2084P0800X	Psychiatry Physician	Q1716	TX
6	2084P0800X	Psychiatry Physician	270630	NY
7	2084P0800X	Psychiatry Physician	MC-1384	ID
8	2084P0800X	Psychiatry Physician	CDR0002235	CO
9	2084P0800X	Psychiatry Physician	MD209822	OR
10	2084P0800X	Psychiatry Physician	12805519-1235	UT

General Provider Information

NPI Number	:	1245518786
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	FAHD RAWRA MD

Provider Business Mailing Address
First Line	:	4810 RIVERSTONE BLVD STE 100
Second Line	:
City	:	MISSOURI CITY
State	:	TX
Zip	:	77459-4092
Country	:	US
Telephone Number	:	832-916-2677
Fax Number	:

Provider Business Practice Location Address
First Line	:	4810 RIVERSTONE BLVD
Second Line	:	STE 100
City	:	MISSOURI CITY
State	:	TX
Zip	:	77459
Country	:	US
Telephone Number	:	832-916-2677
Fax Number	:	832-802-6163

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/02/2011
Last Update Date	:	05/04/2026

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Directions to “ FAHD RAWRA MD” Practice Location

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