Provider Demographics
NPI:1013097799
Name:RAHIM, SIBTAIN (MD)
Entity Type:Individual
Prefix:DR
First Name:SIBTAIN
Middle Name:
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 1:465 W 23RD ST
Mailing Address - Street 2:APT. 6E
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10011-2104
Mailing Address - Country:US
Mailing Address - Phone:212-245-5362
Mailing Address - Fax:212-245-5362
Practice Address - Street 1:465 W 23RD ST
Practice Address - Street 2:APT. 6E
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10011-2104
Practice Address - Country:US
Practice Address - Phone:212-245-5362
Practice Address - Fax:212-245-5362
Is Sole Proprietor?:No
Enumeration Date:2006-10-16
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY212551207RI0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RI0200XAllopathic & Osteopathic PhysiciansInternal MedicineInfectious Disease