Organization
DEARBORN INTERNIST P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MAHMOUD I RAHIM M.D. (OWNER)
(313) 849-4949
Entity
Organization
Contact information
Practice address
10066 DIX AVE, SUITE 100, DEARBORN, MI 48120
(313) 849-4949
(313) 849-0469
Mailing address
1527 CLIFFWOOD, BLOOMFIELD HILLS, MI 48302
(313) 849-4949
(313) 849-0469
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MR065143
MI
207R00000X
Internal Medicine Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4182411
—
MI
Enumeration date
02/03/2011
Last updated
02/03/2011
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