SearchIdaho2085R0202X

Shiraz Rahim

NPI 1073856118 · on the registry since 2013

Practice

Address
5841 S Maryland Ave
Mco810
Chicago, ID 60637
Phone
(773) 834-9102

Additional practice sites

  • 1740 W Taylor St, Chicago, IL
  • 40946 Us Highway 19 N # 101, Tarpon Springs, FL

Registry record

Primary taxonomy
2085R0202X
2085R0202X
Also registered as
390200000X
Licence states on file
IL
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2024-11-22

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Idaho