Provider Demographics
NPI:1518909894
Name:RAHIM, ABDUR (MD)
Entity type:Individual
Prefix:DR
First Name:ABDUR
Middle Name:
Last Name:RAHIM
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1824 WEST 8TH STREET
Mailing Address - Street 2:
Mailing Address - City:CEDAR FALLS
Mailing Address - State:IA
Mailing Address - Zip Code:50613
Mailing Address - Country:US
Mailing Address - Phone:319-277-0992
Mailing Address - Fax:319-277-5768
Practice Address - Street 1:1824 WEST 8TH STREET
Practice Address - Street 2:
Practice Address - City:CEDAR FALLS
Practice Address - State:IA
Practice Address - Zip Code:50613
Practice Address - Country:US
Practice Address - Phone:319-277-0992
Practice Address - Fax:319-277-5768
Is Sole Proprietor?:No
Enumeration Date:2006-06-12
Last Update Date:2018-11-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA209772084P0800X
IAMD-209772084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
IA0041236Medicaid
IA0041236Medicaid
A02880Medicare UPIN