Provider Demographics
NPI:1194109710
Name:RAHEEMA, REBWAR SAMEER (DDS)
Entity type:Individual
Prefix:DR
First Name:REBWAR
Middle Name:SAMEER
Last Name:RAHEEMA
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4455 VINEYARDS BLVD
Mailing Address - Street 2:
Mailing Address - City:STERLING HEIGHTS
Mailing Address - State:MI
Mailing Address - Zip Code:48314-1842
Mailing Address - Country:US
Mailing Address - Phone:586-879-3231
Mailing Address - Fax:
Practice Address - Street 1:30955 WOODWARD AVE
Practice Address - Street 2:
Practice Address - City:ROYAL OAK
Practice Address - State:MI
Practice Address - Zip Code:48073-0800
Practice Address - Country:US
Practice Address - Phone:248-397-2010
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-07-14
Last Update Date:2023-07-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN12012829A122300000X
MI2901021666122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist