Individual
DR. PERWAIZ HUSSAIN RAHIM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4712 EXPLORATION AVE, LAKELAND, FL 33812-3319
(863) 534-3707
(863) 534-3697
Mailing address
4712 EXPLORATION AVE, LAKELAND, FL 33812-3319
(863) 534-3707
(863) 534-3697
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
ME82736
FL
207RP1001X
Pulmonary Disease Physician
Primary
ME82736
FL
207RS0012X
Sleep Medicine (Internal Medicine) Physician
ME82736
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01797
BC/BS
FL
01
—
223299
AMERIGROUP
FL
05
—
261855900
—
FL
01
—
P00210548
RAILROAD MEDICARE
FL
Enumeration date
12/09/2005
Last updated
01/14/2025
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