Individual
K. ANDRE RAHIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
234 GOODMAN ST, DEPARTMENT OF RADIOLOGY, CINCINNATI, OH 45267-1000
(513) 584-7355
(513) 584-0431
Mailing address
PO BOX 636256, CENTRAL CREDENTIALING ML 806, CINCINNATI, OH 45263-6256
(513) 245-3107
(513) 585-5511
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
35065052
OH
2085R0204X
Vascular & Interventional Radiology Physician
Primary
35 065052
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000013705
ANTHEM
OH
05
—
0217633000
—
WV
05
—
0991075
—
OH
05
—
1506913
—
TN
05
—
200039360A
—
IN
05
—
64937022
—
KY
01
—
652349
AETNA
OH
Enumeration date
08/16/2006
Last updated
02/20/2018
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