MEDICARE: YASMIN RAHIMI D.C.

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	111N00000X	Chiropractor	7099	AZ

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	1346293057	OTHER	AZ	NPI
2	AZ094060	OTHER	AZ	BCBS PROVIDER ID

General Provider Information

NPI Number	:	1346293057
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	YASMIN RAHIMI D.C.

Provider Business Mailing Address
First Line	:	1450 W GUADALUPE RD
Second Line	:	SUITE 120
City	:	GILBERT
State	:	AZ
Zip	:	85233-3042
Country	:	US
Telephone Number	:	480-926-7800
Fax Number	:	480-926-2260

Provider Business Practice Location Address
First Line	:	2824 E INDIAN SCHOOL RD
Second Line	:	#5
City	:	PHOENIX
State	:	AZ
Zip	:	85016-6863
Country	:	US
Telephone Number	:	602-840-0056
Fax Number	:	602-840-4056

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

Provider Enumeration Date	:	05/17/2006
Last Update Date	:	02/18/2015

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