Provider Demographics
NPI:1164045993
Name:RAHIMA, INAS MOHAMMED (DMD)
Entity Type:Individual
Prefix:DR
First Name:INAS
Middle Name:MOHAMMED
Last Name:RAHIMA
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14010 MOUNTAIN SAGE CT
Mailing Address - Street 2:
Mailing Address - City:PEARLAND
Mailing Address - State:TX
Mailing Address - Zip Code:77584-3954
Mailing Address - Country:US
Mailing Address - Phone:708-655-4983
Mailing Address - Fax:
Practice Address - Street 1:2101 HIGHWAY 35 BYP N STE 106
Practice Address - Street 2:
Practice Address - City:ALVIN
Practice Address - State:TX
Practice Address - Zip Code:77511-9654
Practice Address - Country:US
Practice Address - Phone:281-756-9990
Practice Address - Fax:281-715-5464
Is Sole Proprietor?:Yes
Enumeration Date:2020-05-27
Last Update Date:2021-08-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL019.0325931223G0001X
TX373891223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice