MEDICARE: CLEVELAND FAMILY PHYSICIANS

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	207R00000X	Internal Medicine Physician	MD0000021187	TN

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	2006954	OTHER	TN	BCBS

General Provider Information

NPI Number	:	1356533475
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CLEVELAND FAMILY PHYSICIANS

Provider Business Mailing Address
First Line	:	2825 WESTSIDE DR NW
Second Line	:
City	:	CLEVELAND
State	:	TN
Zip	:	37312-3504
Country	:	US
Telephone Number	:	423-472-2155
Fax Number	:	423-472-1913

Provider Business Practice Location Address
First Line	:	1521 25TH STREET NW
Second Line	:
City	:	CLEVELAND
State	:	TN
Zip	:	37312
Country	:	US
Telephone Number	:	423-472-2155
Fax Number	:	423-402-8605

Authorized Official
Title or Position	:	INTERNIST
Name	:	DR. SAMIR RAHBE
Credential	:	MD
Telephone Number	:	423-472-2155

Provider Enumeration Date	:	08/13/2007
Last Update Date	:	08/15/2025

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Directions to “CLEVELAND FAMILY PHYSICIANS ” Practice Location

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