Provider Demographics
NPI:1689854317
Name:M. ATIF RAHI, M.D., PA
Entity type:Organization
Organization Name:M. ATIF RAHI, M.D., PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DOCTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:MUHAMMAD
Authorized Official - Middle Name:ATIF
Authorized Official - Last Name:RAHI
Authorized Official - Suffix:
Authorized Official - Credentials:MD, PA
Authorized Official - Phone:281-351-6888
Mailing Address - Street 1:13406 MEDICAL COMPLEX DR STE 180
Mailing Address - Street 2:
Mailing Address - City:TOMBALL
Mailing Address - State:TX
Mailing Address - Zip Code:77375-3339
Mailing Address - Country:US
Mailing Address - Phone:281-351-6888
Mailing Address - Fax:281-351-6505
Practice Address - Street 1:13406 MEDICAL COMPLEX DR STE 180
Practice Address - Street 2:
Practice Address - City:TOMBALL
Practice Address - State:TX
Practice Address - Zip Code:77375-3339
Practice Address - Country:US
Practice Address - Phone:281-351-6888
Practice Address - Fax:281-351-6505
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-11-09
Last Update Date:2007-11-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX0007KPOtherBCBS GROUP
TXG55283Medicare UPIN
TX00980VMedicare PIN