MEDICARE: ABDUR RAHIM 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	207RC0000X	Cardiovascular Disease Physician	ME0027075	FL
2	207R00000X	Internal Medicine Physician	ME0027075	FL

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	060009003	OTHER	FL	RAILROAD MEDICARE

Other Identifiers

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

General Provider Information

NPI Number	:	1780675108
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ABDUR RAHIM MD

Provider Business Mailing Address
First Line	:	2035 LITTLE RD
Second Line	:
City	:	TRINITY
State	:	FL
Zip	:	34655-4421
Country	:	US
Telephone Number	:	727-842-9486
Fax Number	:	727-372-1825

Provider Business Practice Location Address
First Line	:	2035 LITTLE RD
Second Line	:
City	:	TRINITY
State	:	FL
Zip	:	34655-4421
Country	:	US
Telephone Number	:	727-842-9486
Fax Number	:	727-849-2623

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

Provider Enumeration Date	:	11/03/2005
Last Update Date	:	11/26/2025

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Directions to “ ABDUR RAHIM MD” Practice Location

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