Provider Demographics
NPI:1245518786
Name:RAWRA, FAHD (MD)
Entity type:Individual
Prefix:
First Name:FAHD
Middle Name:
Last Name:RAWRA
Suffix:
Gender:
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4810 RIVERSTONE BLVD STE 100
Mailing Address - Street 2:
Mailing Address - City:MISSOURI CITY
Mailing Address - State:TX
Mailing Address - Zip Code:77459-4092
Mailing Address - Country:US
Mailing Address - Phone:832-916-2677
Mailing Address - Fax:
Practice Address - Street 1:4810 RIVERSTONE BLVD
Practice Address - Street 2:STE 100
Practice Address - City:MISSOURI CITY
Practice Address - State:TX
Practice Address - Zip Code:77459
Practice Address - Country:US
Practice Address - Phone:832-916-2677
Practice Address - Fax:832-802-6163
Is Sole Proprietor?:No
Enumeration Date:2011-08-02
Last Update Date:2025-04-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT12805519-12352084P0800X
IDMC-13842084P0800X
NECP8392084P0800X
COCDR00022352084P0800X
NY2706302084P0800X
OKOK405482084P0800X
WY14418C2084P0800X
IAMD482952084P0800X
TXQ17162084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry