MEDICARE: SIMRATI RAHI

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	1223G0001X	General Practice Dentistry	DS041432	PA

General Provider Information

NPI Number	:	1962886747
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SIMRATI RAHI

Provider Business Mailing Address
First Line	:	7040 PEACH ST
Second Line	:
City	:	ERIE
State	:	PA
Zip	:	16509-4705
Country	:	US
Telephone Number	:	814-866-7500
Fax Number	:

Provider Business Practice Location Address
First Line	:	7700 CAT HOLLOW DR STE 208
Second Line	:
City	:	ROUND ROCK
State	:	TX
Zip	:	78681-5799
Country	:	US
Telephone Number	:	512-255-4229
Fax Number	:

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

Provider Enumeration Date	:	07/12/2015
Last Update Date	:	09/05/2022

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Directions to “ SIMRATI RAHI ” Practice Location

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