Provider Demographics
NPI:1609381698
Name:RAHIMI, NEEMA (PHARMD, RPH)
Entity Type:Individual
Prefix:
First Name:NEEMA
Middle Name:
Last Name:RAHIMI
Suffix:
Gender:M
Credentials:PHARMD, RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:35 UNION AVE APT 19
Mailing Address - Street 2:
Mailing Address - City:CAMPBELL
Mailing Address - State:CA
Mailing Address - Zip Code:95008-3153
Mailing Address - Country:US
Mailing Address - Phone:707-292-5231
Mailing Address - Fax:
Practice Address - Street 1:8 HERITAGE VILLAGE LN
Practice Address - Street 2:
Practice Address - City:CAMPBELL
Practice Address - State:CA
Practice Address - Zip Code:95008-2034
Practice Address - Country:US
Practice Address - Phone:707-292-5231
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-12-12
Last Update Date:2018-09-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA78079183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist