Provider Demographics
NPI:1750049185
Name:VICTORY, RAHI (MD, FACOG)
Entity Type:Individual
Prefix:
First Name:RAHI
Middle Name:
Last Name:VICTORY
Suffix:
Gender:M
Credentials:MD, FACOG
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8100 TWIN OAKS DRIVE
Mailing Address - Street 2:
Mailing Address - City:WINDSOR
Mailing Address - State:ONTARIO
Mailing Address - Zip Code:N8N 5C2
Mailing Address - Country:CA
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:8100 TWIN OAKS DRIVE
Practice Address - Street 2:
Practice Address - City:WINDSOR
Practice Address - State:ONTARIO
Practice Address - Zip Code:N8N 5C2
Practice Address - Country:CA
Practice Address - Phone:519-944-6400
Practice Address - Fax:519-944-6406
Is Sole Proprietor?:Yes
Enumeration Date:2021-12-02
Last Update Date:2021-12-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4301081370207VE0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207VE0102XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyReproductive Endocrinology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI4301081370OtherPHYSICIAN LICENSE
MI5315034448OtherCONTROLLED SUBSTANCE LICENSE