MEDICARE: DR. SANA SYEEDA 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
1	390200000X	Student in an Organized Health Care Education/Training Program	63935	NY
2	208000000X	Pediatrics Physician	C2-0013712	DE

General Provider Information

NPI Number	:	1922539220
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. SANA SYEEDA RAHIMI DO

Provider Business Mailing Address
First Line	:	PO BOX 191
Second Line	:
City	:	ROCKLAND
State	:	DE
Zip	:	19732-0191
Country	:	US
Telephone Number	:	302-651-4200
Fax Number	:	302-651-4945

Provider Business Practice Location Address
First Line	:	10140 CENTURION PKWY N
Second Line	:
City	:	JACKSONVILLE
State	:	FL
Zip	:	32256-0532
Country	:	US
Telephone Number	:	904-697-4100
Fax Number	:

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

Provider Enumeration Date	:	03/27/2017
Last Update Date	:	08/26/2025

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