Provider Demographics
NPI:1376864512
Name:BENGALI, RAHEEL (MD)
Entity Type:Individual
Prefix:
First Name:RAHEEL
Middle Name:
Last Name:BENGALI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:8522 BROADWAY STE 216
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78217-6456
Mailing Address - Country:US
Mailing Address - Phone:210-874-5260
Mailing Address - Fax:210-864-4838
Practice Address - Street 1:88 BRIGGS ST STE 250
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78224-1269
Practice Address - Country:US
Practice Address - Phone:210-874-5260
Practice Address - Fax:210-864-4838
Is Sole Proprietor?:No
Enumeration Date:2010-06-22
Last Update Date:2024-03-25
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TXQ2515174400000X, 207L00000X, 207LP2900X, 208VP0014X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208VP0014XAllopathic & Osteopathic PhysiciansPain MedicineInterventional Pain Medicine
No174400000XOther Service ProvidersSpecialist
No207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology
No207LP2900XAllopathic & Osteopathic PhysiciansAnesthesiologyPain Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX3434011-02Medicaid