Provider Demographics
NPI:1093927188
Name:RAHIMI, ROBERT S (MD, MSCR)
Entity Type:Individual
Prefix:DR
First Name:ROBERT
Middle Name:S
Last Name:RAHIMI
Suffix:
Gender:M
Credentials:MD, MSCR
Other - Prefix:DR
Other - First Name:BOB
Other - Middle Name:S
Other - Last Name:RAHIMI
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MD, MSCR
Mailing Address - Street 1:3410 WORTH ST
Mailing Address - Street 2:SUITE 860
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75246-2003
Mailing Address - Country:US
Mailing Address - Phone:214-820-8500
Mailing Address - Fax:214-820-0993
Practice Address - Street 1:3410 WORTH ST
Practice Address - Street 2:SUITE 860
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75246-2003
Practice Address - Country:US
Practice Address - Phone:214-820-8500
Practice Address - Fax:214-820-0993
Is Sole Proprietor?:No
Enumeration Date:2007-05-03
Last Update Date:2014-04-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXN4017207R00000X, 207RG0100X, 207RI0008X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RI0008XAllopathic & Osteopathic PhysiciansInternal MedicineHepatology
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX2149031-02Medicaid
TX311474YKTPMedicare PIN
TX2149031-02Medicaid
TX311474YMR3Medicare PIN