MEDICARE: RAHILA ESSANI 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	208600000X	Surgery Physician	P4864	TX
2	208C00000X	Colon & Rectal Surgery Physician	P4864	TX
3	208C00000X	Colon & Rectal Surgery Physician	ME166881	FL

General Provider Information

NPI Number	:	1992718050
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	RAHILA ESSANI MD

Provider Business Mailing Address
First Line	:	410 CELEBRATION PL STE 106
Second Line	:
City	:	CELEBRATION
State	:	FL
Zip	:	34747-5432
Country	:	US
Telephone Number	:	407-303-2615
Fax Number	:

Provider Business Practice Location Address
First Line	:	410 CELEBRATION PL STE 106
Second Line	:
City	:	CELEBRATION
State	:	FL
Zip	:	34747-5432
Country	:	US
Telephone Number	:	407-303-2615
Fax Number	:

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

Provider Enumeration Date	:	08/13/2006
Last Update Date	:	05/01/2024

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Directions to “ RAHILA ESSANI MD” Practice Location

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