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NPI Code Detail

MEDICARE: RAHMAN RAHIMI DO

MEDICARE: RAHMAN RAHIMI DO
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
1208D00000XGeneral Practice PhysicianOS18309FL
2390200000XStudent in an Organized Health Care Education/Training Program
3208D00000XGeneral Practice PhysicianS8370TX
42083P0011XUndersea and Hyperbaric Medicine (Preventive Medicine) Physician0S18309FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1629633060
Entity Type Code : Individual
Provider Name (Legal Business Name) : RAHMAN RAHIMI DO
Provider Business Mailing Address
First Line : 8427 RIDGELEA ST
Second Line :
City : DALLAS
State : TX
Zip : 75209-2637
Country : US
Telephone Number : 214-701-6747
Fax Number :
Provider Business Practice Location Address
First Line : 16633 DALLAS PKWY STE 150
Second Line :
City : ADDISON
State : TX
Zip : 75001-6812
Country : US
Telephone Number : 214-701-6747
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/01/2019
Last Update Date : 12/22/2023

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