Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 111N00000X | Chiropractor | 03286 | MA |
Y | 111NN0400X | Neurology | 9893 | TX |
NPI | 1548230386 |
---|---|
Provider Name | Dr. Rahima Kassam |
First Address | Quincy, MA 02169-1200 |
Second Address | Quincy, MA 02169-1200 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 24/01/2006 |
Last Update Date | 07/07/2010 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
1057093 | ASH (01) | TX |
11445441 | CAQH (01) | TX |
12300656 | MULTIPLAN (01) | TX |
13425 | UHS (01) | TX |
4755661 | CIGNA (01) | TX |
7866652 | AETNA (01) | TX |
8R1170 | BCBS (01) | TX |
V05257 | (02) | TX |