Individual
DR. ALI A RAHIMIAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
300 DAVISSON RUN RD, SUITE 203, CLARKSBURG, WV 26301-9304
(304) 622-1264
(304) 622-0204
Mailing address
PO BOX 2308, CLARKSBURG, WV 26302-2308
(304) 622-1264
(304) 622-0204
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
11608
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0094094000
—
WV
01
—
245004
CARELINK/COVENTRY
WV
01
—
5116317
ALLIANCE PROVIDER #
WV
01
—
WV11608D
HEALTH PLAN #
WV
Enumeration date
11/21/2005
Last updated
01/04/2008
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