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NPI Code Detail

MEDICARE: ENAYET RAHIM MD PA

MEDICARE: ENAYET RAHIM MD PA
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
1207R00000XInternal Medicine PhysicianM4920TX

General Provider Information

NPI Number : 1497928964
Entity Type Code : Organization
Provider Name (Legal Business Name) : ENAYET RAHIM MD PA
Provider Business Mailing Address
First Line : PO BOX 580525
Second Line :
City : HOUSTON
State : TX
Zip : 77258-0525
Country : US
Telephone Number : 281-333-1062
Fax Number : 281-335-4529
Provider Business Practice Location Address
First Line : 2060 SPACE PARK DR STE 408
Second Line :
City : HOUSTON
State : TX
Zip : 77058-3676
Country : US
Telephone Number : 281-333-1062
Fax Number : 281-335-4529
Authorized Official
Title or Position : PHYSICIAN
Name : ENAYET RAHIM
Credential : MD
Telephone Number : 281-333-1062
Provider Enumeration Date : 04/07/2008
Last Update Date : 04/07/2008

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