Individual
DR. MAHMOUD S RAHIM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
10066 DIX, DEARBORN, MI 48120-1551
(313) 849-4949
(313) 849-0469
Mailing address
10066 DIX, DEARBORN, MI 48120-1551
(313) 849-4949
(313) 849-0469
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MR065143
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
110H217180
BCBS
MI
01
—
383512406
FED TAX ID
MI
05
—
4182411
—
MI
Enumeration date
09/01/2006
Last updated
07/08/2007
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