Dearborn Internist P.C.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

MR065143 Issued in MI

Legal business name

DEARBORN INTERNIST P.C.

Practice address

10066 Dix Ave
Suite 100
Dearborn, MI 48120

Phone

(313) 849-4949

Fax

(313) 849-0469

NPI assigned

Feb 3, 2011

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mahmoud I Rahim, M.D.

Title

Owner

Phone

(313) 849-4949

Specialties & licenses 2

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Ali Rahim, MD

  • Internal Medicine Physician
  • Dearborn, MI
  • NPI 1114556347
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1296691200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1296691200000",
    "number": "1023314341",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1527 CLIFFWOOD",
            "city": "BLOOMFIELD HILLS",
            "state": "MI",
            "postal_code": "48302",
            "telephone_number": "313-849-4949",
            "fax_number": "313-849-0469"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10066 DIX AVE",
            "address_2": "SUITE 100",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "48120",
            "telephone_number": "313-849-4949",
            "fax_number": "313-849-0469"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEARBORN INTERNIST P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-02-03",
        "last_updated": "2011-02-03",
        "status": "A",
        "authorized_official_last_name": "RAHIM",
        "authorized_official_first_name": "MAHMOUD",
        "authorized_official_middle_name": "I",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "313-849-4949",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "MR065143",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4182411",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Dearborn Gastroenterology
• Dearborn Healthcare PC
• Dearborn Hearing AIDS Inc
• Dearborn Hearing Center, LLC.
• Dearborn Heart & Vascular Associates PLLC
• Dearborn Kidney Center LLC
• Dearborn Life Care Physical Therapy, LLC
• Dearborn Medical & Rehabilitation Center
• Dearborn Medical Associates, P.C.
• Dearborn Medical Institute PC

• Internal Medicine Physician in Dearborn, MI
• Providers in Dearborn, MI by specialty
• Internal Medicine Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.