Provider Demographics
NPI:1598714495
Name:RAHMANI, DARUSH (DO)
Entity Type:Individual
Prefix:DR
First Name:DARUSH
Middle Name:
Last Name:RAHMANI
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 1549
Mailing Address - Street 2:
Mailing Address - City:GEORGETOWN
Mailing Address - State:TX
Mailing Address - Zip Code:78627-1549
Mailing Address - Country:US
Mailing Address - Phone:512-948-7611
Mailing Address - Fax:888-524-4073
Practice Address - Street 1:940 HESTERS CROSSING RD
Practice Address - Street 2:
Practice Address - City:ROUND ROCK
Practice Address - State:TX
Practice Address - Zip Code:78681-8018
Practice Address - Country:US
Practice Address - Phone:512-244-9024
Practice Address - Fax:512-406-7342
Is Sole Proprietor?:No
Enumeration Date:2006-05-08
Last Update Date:2018-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXM3706207RR0500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RR0500XAllopathic & Osteopathic PhysiciansInternal MedicineRheumatology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX1833592-01Medicaid
TX1833592-01Medicaid
TXI12136Medicare UPIN
TXTXB129026Medicare PIN