Provider Demographics
NPI:1063678647
Name:RAHIM, RAHIMAH A (RN)
Entity Type:Individual
Prefix:
First Name:RAHIMAH
Middle Name:A
Last Name:RAHIM
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:405 NW 19TH ST
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33136-1200
Mailing Address - Country:US
Mailing Address - Phone:305-571-9404
Mailing Address - Fax:305-571-9404
Practice Address - Street 1:405 NW 19TH ST
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33136-1200
Practice Address - Country:US
Practice Address - Phone:305-571-9404
Practice Address - Fax:305-571-9404
Is Sole Proprietor?:Yes
Enumeration Date:2008-08-02
Last Update Date:2008-08-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLRN9247312163WC1500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WC1500XNursing Service ProvidersRegistered NurseCommunity Health