Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207KA0200X | Allergist | 25MB08722500 | NJ |
Y | 207KA0200X | Allergist | 264031 | NY |
NPI | 1659683902 |
---|---|
Provider Name | Dr. Vahid Rahimian |
First Address | New York, NY 10022-1117 |
Second Address | New York, NY 10022-1117 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 01/07/2010 |
Last Update Date | 03/08/2012 |