Provider Demographics
NPI:1528251568
Name:RAHHAL, DINA N (MD)
Entity type:Individual
Prefix:
First Name:DINA
Middle Name:N
Last Name:RAHHAL
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3880 PARKWOOD BLVD STE 501
Mailing Address - Street 2:
Mailing Address - City:FRISCO
Mailing Address - State:TX
Mailing Address - Zip Code:75034-1931
Mailing Address - Country:US
Mailing Address - Phone:214-618-5719
Mailing Address - Fax:817-801-1508
Practice Address - Street 1:3880 PARKWOOD BLVD STE 501
Practice Address - Street 2:
Practice Address - City:FRISCO
Practice Address - State:TX
Practice Address - Zip Code:75034-1931
Practice Address - Country:US
Practice Address - Phone:214-618-5719
Practice Address - Fax:214-618-5725
Is Sole Proprietor?:No
Enumeration Date:2007-08-23
Last Update Date:2020-07-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXN46862086S0105X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2086S0105XAllopathic & Osteopathic PhysiciansSurgerySurgery of the Hand
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX210110705Medicaid
TX210110704Medicaid
TX210110704Medicaid
TX274360YKPWMedicare PIN
TX210110705Medicaid