Individual
DR. MUSTAFA RAHIM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
250 STANAFORD RD, SUITE 210, BECKLEY, WV 25801-3140
(304) 256-6500
(304) 254-2759
Mailing address
PO BOX 964, BECKLEY, WV 25802-0964
(304) 256-6500
(304) 254-2759
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
18191
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0078353000
—
WV
05
—
1750405346
—
WV
Enumeration date
10/13/2006
Last updated
10/17/2014
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