Organization Active NPI

Yahia Rahim-Abdul

  • Pediatrics Physician
  • Panama City, FL
National Provider Identifier
1427501444
Registry record updated Jul 26, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
Legal business name
YAHIA RAHIM-ABDUL
Doing business as
Yahia A Rahim
Practice address
200 W 19TH St
Panama City, FL 32405-4628
Phone
(850) 872-0021
Fax
(850) 872-8088
NPI assigned
Jul 26, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 26, 2016

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

Authorized official

Name
Yahia A Rahim, M.D.
Title
Owner
Phone
(850) 872-0021

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208000000X Primary
Pediatric Hematology & Oncology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2080P0207X

Addresses

Primary practice location

200 W 19TH St
Panama City, FL 32405-4628

Mailing address

200 W 19TH St
Panama City, FL 32405-4628
Phone (850) 872-0021

Other names 1

  • Yahia A Rahim Doing business as

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
10D0893556Yahia a Rahim MD200 W 19TH Street, Panama City, FL 32405Certificate of waiverJan 18, 2027

National Provider Directory

National Provider Directory

Locations

2314 W 23rd St
Panama City, FL 32405
Phone (850) 784-0818

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1469491200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1469491200000",
    "number": "1427501444",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 W 19TH ST",
            "city": "PANAMA CITY",
            "state": "FL",
            "postal_code": "324054628",
            "telephone_number": "850-872-0021",
            "fax_number": "850-872-8088"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 W 19TH ST",
            "city": "PANAMA CITY",
            "state": "FL",
            "postal_code": "324054628",
            "telephone_number": "850-872-0021",
            "fax_number": "850-872-8088"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YAHIA RAHIM-ABDUL",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-07-26",
        "last_updated": "2016-07-26",
        "status": "A",
        "authorized_official_last_name": "RAHIM",
        "authorized_official_first_name": "YAHIA",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "850-872-0021",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "2080P0207X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics, Pediatric Hematology-Oncology",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Yahia A Rahim",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Panama City, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.