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Individual

DR. HYDEH RAHIMIAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
500 E WALNUT ST, EVANSVILLE, IN 47713-2438
(812) 465-5669
(812) 485-6767
Mailing address
500 E WALNUT ST, EVANSVILLE, IN 47713-2438
(812) 465-5669
(812) 485-6767

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
01050203
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000106958
ANTHEM PROVIDER#
IN
01
080154921
INDIVRAILROAD MEDICARE #
IN
05
100180890F
IN
05
200122140
IN
01
E99155
UPIN#
IN
Enumeration date
06/10/2006
Last updated
07/09/2007
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