Rahim, Fahim

Rahim, Fahim is an sole proprietor health care provider with primary practice located at 4511 Zebe Ave , Chubbuck ID 83202-4707. He recently has only one registered license in Allopathic & Osteopathic Physicians / Nephrology, which is considered as his primary health care specialty. Rahim, Fahim can be contacted via phone (208) 904-4780.

Contact Information

Primary practice address
4511 Zebe Ave Chubbuck ID 83202-4707
Fax: (208) 904-4832
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Nephrology 207RN0300X M9261 Idaho

Profile Details

NPI number 1164579736
LBN Legal business name Rahim, Fahim
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 4th, 2007
Last updated Dec 8th, 2022 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1164579736 NPPES
Idaho MEDICAID 807177000

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