Provider Demographics
NPI:1033543541
Name:RAHIMPOUR, SHERVIN
Entity Type:Individual
Prefix:MR
First Name:SHERVIN
Middle Name:
Last Name:RAHIMPOUR
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5544 SAXON LN
Mailing Address - Street 2:
Mailing Address - City:COLORADO SPRINGS
Mailing Address - State:CO
Mailing Address - Zip Code:80918-8167
Mailing Address - Country:US
Mailing Address - Phone:719-290-2827
Mailing Address - Fax:
Practice Address - Street 1:5544 SAXON LN
Practice Address - Street 2:
Practice Address - City:COLORADO SPRINGS
Practice Address - State:CO
Practice Address - Zip Code:80918-8167
Practice Address - Country:US
Practice Address - Phone:719-290-2827
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-09-03
Last Update Date:2021-11-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT12404232-1205207T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207T00000XAllopathic & Osteopathic PhysiciansNeurological Surgery