Provider Demographics
NPI:1588612980
Name:RAHIM, IRFAN UR (MD)
Entity type:Individual
Prefix:
First Name:IRFAN
Middle Name:UR
Last Name:RAHIM
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 1:2850 DR JOHN HAYNES DR
Mailing Address - Street 2:
Mailing Address - City:PELL CITY
Mailing Address - State:AL
Mailing Address - Zip Code:35125-1438
Mailing Address - Country:US
Mailing Address - Phone:205-884-2260
Mailing Address - Fax:205-884-2351
Practice Address - Street 1:2850 DR JOHN HAYNES DR
Practice Address - Street 2:
Practice Address - City:PELL CITY
Practice Address - State:AL
Practice Address - Zip Code:35125-1438
Practice Address - Country:US
Practice Address - Phone:205-884-2260
Practice Address - Fax:205-884-2351
Is Sole Proprietor?:Yes
Enumeration Date:2006-05-05
Last Update Date:2011-03-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL00023305208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL51500335OtherBLUE CROSS BLUE SHIELD AL
AL2238093OtherUNITED HEALTHCARE
AL009940490Medicaid
ALH36960Medicare UPIN