Provider Demographics
NPI:1699986109
Name:RAHEEM, SELMA (MD)
Entity type:Individual
Prefix:DR
First Name:SELMA
Middle Name:
Last Name:RAHEEM
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 1:3129 KINGSLEY DR STE 1730
Mailing Address - Street 2:
Mailing Address - City:PEARLAND
Mailing Address - State:TX
Mailing Address - Zip Code:77584-8511
Mailing Address - Country:US
Mailing Address - Phone:832-947-3562
Mailing Address - Fax:
Practice Address - Street 1:3129 KINGSLEY DR STE 1730
Practice Address - Street 2:
Practice Address - City:PEARLAND
Practice Address - State:TX
Practice Address - Zip Code:77584-8511
Practice Address - Country:US
Practice Address - Phone:832-947-3562
Practice Address - Fax:832-947-1117
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-25
Last Update Date:2022-08-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXN10882084P0804X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0804XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyChild & Adolescent Psychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXTXB130509Medicare UPIN