Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207R00000X | Internist | 15970 | NV |
Y | 111NI0900X | Internist | 15970 | NV |
N | 207RG0300X | Geriatric Medicine | 037050 | GA |
NPI | 1033103908 |
---|---|
Provider Name | Dr. Ali R Rahimi |
First Address | Las Vegas, NV 89128-0443 |
Second Address | Las Vegas, NV 89128-0443 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 07/09/2005 |
Last Update Date | 21/08/2015 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
F17421 | (02) | GA |