Provider Demographics
NPI:1437134319
Name:RAHIM, NAZIR AHMAD (MD)
Entity Type:Individual
Prefix:DR
First Name:NAZIR
Middle Name:AHMAD
Last Name:RAHIM
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:1580 CREEKSIDE DR
Mailing Address - Street 2:STE 220
Mailing Address - City:FOLSOM
Mailing Address - State:CA
Mailing Address - Zip Code:95630-3886
Mailing Address - Country:US
Mailing Address - Phone:916-983-4444
Mailing Address - Fax:530-295-4104
Practice Address - Street 1:1580 CREEKSIDE DR
Practice Address - Street 2:STE 220
Practice Address - City:FOLSOM
Practice Address - State:CA
Practice Address - Zip Code:95630-3886
Practice Address - Country:US
Practice Address - Phone:916-983-4444
Practice Address - Fax:530-295-4104
Is Sole Proprietor?:No
Enumeration Date:2005-12-13
Last Update Date:2017-02-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA77214207RG0100X, 207RI0008X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterology
No207RI0008XAllopathic & Osteopathic PhysiciansInternal MedicineHepatology
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAH72519Medicare UPIN
CAZZZ20819ZMedicare PIN
CAZZZ22929ZMedicare PIN