Individual
DR. RAHIM FAZEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
881 OHARE PKWY, MEDFORD, OR 97504-4005
(949) 263-8620
(800) 409-7005
Mailing address
881 OHARE PKWY, MEDFORD, OR 97504-4005
(949) 263-8620
(800) 409-7005
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
34.010202
OH
2085R0202X
Diagnostic Radiology Physician
Primary
DO169889
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1669562864
—
OH
05
—
500683931
—
OR
Enumeration date
04/08/2010
Last updated
06/17/2015
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