Provider Demographics
NPI:1407667827
Name:KHAMIS, RAHMA
Entity type:Individual
Prefix:
First Name:RAHMA
Middle Name:
Last Name:KHAMIS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:555 PAGE ST UNIT 203
Mailing Address - Street 2:
Mailing Address - City:STOUGHTON
Mailing Address - State:MA
Mailing Address - Zip Code:02072-6028
Mailing Address - Country:US
Mailing Address - Phone:857-266-0867
Mailing Address - Fax:
Practice Address - Street 1:555 PAGE ST UNIT 203
Practice Address - Street 2:
Practice Address - City:STOUGHTON
Practice Address - State:MA
Practice Address - Zip Code:02072-6028
Practice Address - Country:US
Practice Address - Phone:857-266-0867
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-01-15
Last Update Date:2025-01-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MARN2322430163WC2100X, 163WP0809X, 163WR0400X, 163WH0200X, 163WH1000X, 163WP0807X, 163WA0400X, 163WS0200X, 2084P0805X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WA0400XNursing Service ProvidersRegistered NurseAddiction (Substance Use Disorder)
No163WC2100XNursing Service ProvidersRegistered NurseContinence Care
No163WP0809XNursing Service ProvidersRegistered NursePsychiatric/Mental Health, Adult
No163WR0400XNursing Service ProvidersRegistered NurseRehabilitation
No163WH0200XNursing Service ProvidersRegistered NurseHome Health
No163WH1000XNursing Service ProvidersRegistered NurseHospice
No163WP0807XNursing Service ProvidersRegistered NursePsychiatric/Mental Health, Child & Adolescent
No163WS0200XNursing Service ProvidersRegistered NurseSchool
No2084P0805XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyGeriatric Psychiatry