Provider Demographics
NPI:1003253071
Name:RAHIM, BASIT (MD)
Entity Type:Individual
Prefix:
First Name:BASIT
Middle Name:
Last Name:RAHIM
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:26800 CROWN VALLEY PKWY STE 385
Mailing Address - Street 2:
Mailing Address - City:MISSION VIEJO
Mailing Address - State:CA
Mailing Address - Zip Code:92691-7320
Mailing Address - Country:US
Mailing Address - Phone:949-542-8002
Mailing Address - Fax:949-542-7337
Practice Address - Street 1:26800 CROWN VALLEY PKWY STE 385
Practice Address - Street 2:
Practice Address - City:MISSION VIEJO
Practice Address - State:CA
Practice Address - Zip Code:92691-7320
Practice Address - Country:US
Practice Address - Phone:949-542-8002
Practice Address - Fax:949-542-7337
Is Sole Proprietor?:No
Enumeration Date:2013-05-30
Last Update Date:2020-10-28
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Provider Licenses
StateLicense IDTaxonomies
CAA1480462084V0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084V0102XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyVascular Neurology