Provider Demographics
NPI:1689781890
Name:RAHIMI, SHERVIN (DDS)
Entity Type:Individual
Prefix:DR
First Name:SHERVIN
Middle Name:
Last Name:RAHIMI
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5965 W RAY RD
Mailing Address - Street 2:#27
Mailing Address - City:CHANDLER
Mailing Address - State:AZ
Mailing Address - Zip Code:85226
Mailing Address - Country:US
Mailing Address - Phone:480-705-9005
Mailing Address - Fax:480-705-5021
Practice Address - Street 1:5965 W RAY RD
Practice Address - Street 2:#27
Practice Address - City:CHANDLER
Practice Address - State:AZ
Practice Address - Zip Code:85226
Practice Address - Country:US
Practice Address - Phone:480-705-9005
Practice Address - Fax:480-705-5021
Is Sole Proprietor?:No
Enumeration Date:2006-08-24
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ5750122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist