Provider Demographics
NPI:1124288600
Name:RAHIMIAN & ASSOCIATES PC
Entity type:Organization
Organization Name:RAHIMIAN & ASSOCIATES PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ALI
Authorized Official - Middle Name:
Authorized Official - Last Name:RAHIMIAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:301-877-7660
Mailing Address - Street 1:10403 HOSPITAL DR
Mailing Address - Street 2:SUITE G-6
Mailing Address - City:CLINTON
Mailing Address - State:MD
Mailing Address - Zip Code:20735-3134
Mailing Address - Country:US
Mailing Address - Phone:301-877-7660
Mailing Address - Fax:301-877-7662
Practice Address - Street 1:10403 HOSPITAL DR
Practice Address - Street 2:SUITE G-6
Practice Address - City:CLINTON
Practice Address - State:MD
Practice Address - Zip Code:20735-3134
Practice Address - Country:US
Practice Address - Phone:301-877-7660
Practice Address - Fax:301-877-7662
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-06-10
Last Update Date:2011-05-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
1940540OtherAETNA
DC490893ZA3ZOtherMEDICARE PTAN NUMBER 490893ZA3Z GROUP MEMBER PROVIDER
6712056OtherCIGNA
DCN404OtherCAREFIRST
MD1801805858OtherASSOCIATED PHYSICIAN ALI RAHIMIAN
MD1124288600 180180585OtherUNITED
6712056OtherCIGNA