Dr. Abdollah Rahimi
Oral and Maxillofacial Pathology
15600 36th Ave N Suite 100
Plymouth
, Minnesota 55446-3369
Dr. Abdollah Rahimi
Oral and Maxillofacial Pathology
15600 36th Ave N Suite 100
Plymouth
, Minnesota 55446-3369
(763) 559-2237
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About
Features
Specialties
- Oral and Maxillofacial Pathology
Languages spoken
- English
Location
First Address
- Dr. Abdollah Rahimi
- 15600 36th Ave N Suite 100
- Plymouth, MN
- Zip : 55446-3369
- Fax : (763) 559-2237
- Phone : (763) 559-7688
Second Address
- Dr. Abdollah Rahimi
- 15600 36th Ave N Suite 100
- Plymouth, MN
- Zip : 55446-3369
- Fax : (763) 559-2237
- Phone : (763) 559-7688
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 1223P0106X | Oral and Maxillofacial Pathology | D10465 | MN |
National Provider Identifier
| NPI | 1801881370 |
|---|---|
| Provider Name | Dr. Abdollah Rahimi |
| First Address | Plymouth, MN 55446-3369 |
| Second Address | Plymouth, MN 55446-3369 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 12/09/2005 |
| Last Update Date | 08/07/2007 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 01006428 | PREFERRED ONE (01) | MN |
| 52D14RA | BLUE CROSS BLUE SHIELD (01) | MN |
| 86-24115 | MEDICA (01) | MN |
| U12130 | (02) | MN |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.