Individual
DR. MALIK TARIQ RAHIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2755 SILVER CREEK RD, SUITE 217, BULLHEAD CITY, AZ 86442-7904
(928) 704-6070
(928) 704-4736
Mailing address
10170 W TROPICANA AVE # 156-336, LAS VEGAS, NV 89147-8465
(702) 659-7822
(702) 659-7805
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
14371
NV
207RI0011X
Interventional Cardiology Physician
Primary
14371
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1356542112
—
NV
Enumeration date
05/30/2007
Last updated
08/29/2020
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