Provider Demographics
NPI:1306827381
Name:ALRAHWAN, AMIN DAVID (MD)
Entity Type:Individual
Prefix:
First Name:AMIN
Middle Name:DAVID
Last Name:ALRAHWAN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:18300 SAINT JOHN DR
Mailing Address - Street 2:CHRISTUS ST. JOHN HOSPITAL LAB
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77058-6302
Mailing Address - Country:US
Mailing Address - Phone:281-523-2263
Mailing Address - Fax:281-523-3061
Practice Address - Street 1:18300 SAINT JOHN DR
Practice Address - Street 2:CHRISTUS ST. JOHN HOSPITAL LAB
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77058-6302
Practice Address - Country:US
Practice Address - Phone:281-523-2263
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2005-11-08
Last Update Date:2012-04-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA15464R207ZP0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207ZP0102XAllopathic & Osteopathic PhysiciansPathologyAnatomic Pathology & Clinical Pathology