Individual
FAHIM RASUL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
1225 W 190TH ST STE 280, GARDENA, CA 90248-4305
(877) 515-8113
Mailing address
3214 E RACE AVE, SEARCY, AR 72143-4810
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
E-13504
AR
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
212964795
—
AR
Enumeration date
04/03/2019
Last updated
09/12/2025
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