Abdulwali Samad Rahimi, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

26950 Issued in OK

Practice address

100 Valley Dr
Pauls Valley, OK 73075-6613

Phone

(405) 238-5501

NPI assigned

Apr 30, 2009

Last updated

Apr 30, 2009By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Waliullah Barekzahai Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Washita Emergency Physicians LLC

  • Emergency Medicine Physician
  • Pauls Valley, OK
  • NPI 1932159233
  NPD (past)

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

{
    "created_epoch": "1241049600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1241049600000",
    "number": "1033353206",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1301 3RD ST STE 200",
            "city": "WICHITA FALLS",
            "state": "TX",
            "postal_code": "763012245",
            "telephone_number": "817-466-9471",
            "fax_number": "940-767-4891"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 VALLEY DR",
            "city": "PAULS VALLEY",
            "state": "OK",
            "postal_code": "730756613",
            "telephone_number": "405-238-5501"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAHIMI",
        "first_name": "ABDULWALI",
        "middle_name": "SAMAD",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-04-30",
        "last_updated": "2009-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OK",
            "license": "26950",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "WALIULLAH",
            "last_name": "BAREKZAHAI",
            "credential": "M.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Lacey R Powers, BSW
• Megan Powers, APRN-CNP
• Pro Health and Rehab (Pauls Valley Health and Rehab)
• Professional Home Care of Garvin County Oklahoma Inc
• PTMS 3.O, LLC (Physical Therapy Central of Pauls Valley)
• Redeemed and Restored Wellness
• Stuart Reese, PHARMD
• Stephen Dwight Richey, L.P.C.
• Sandra J Ridgeway
• Jasmine Rocha

• Family Medicine Physician in Pauls Valley, OK
• Providers in Pauls Valley, OK by specialty
• Family Medicine Physician in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2009; 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.