Individual
DR. MATTHEW J RAHAIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1200 7TH AVE N, ST PETERSBURG, FL 33705-1300
(727) 825-1100
(727) 827-5155
Mailing address
PO BOX 919379, ORLANDO, FL 32891-9379
(844) 453-1406
(772) 621-3180
Taxonomy
Speciality
Code
Description
License number
State
2085B0100X
Body Imaging Physician
ME82690
FL
2085N0904X
Nuclear Radiology Physician
ME82690
FL
2085P0229X
Pediatric Radiology Physician
ME82690
FL
2085R0202X
Diagnostic Radiology Physician
Primary
ME82690
FL
2085R0204X
Vascular & Interventional Radiology Physician
ME82690
FL
2085U0001X
Diagnostic Ultrasound Physician
ME82690
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1605426
UNITED HEALTH CARE
—
05
—
269983400
—
FL
01
—
46070
BCBS
FL
01
—
P00146160
MEDICARE RR
—
Enumeration date
07/31/2006
Last updated
08/03/2021
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