Organization Active NPI

Enayet Rahim MD PA

  • Internal Medicine Physician
  • Houston, TX
National Provider Identifier
1497928964
Registry record updated Apr 7, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
M4920 Issued in TX
Legal business name
ENAYET RAHIM MD PA
Practice address
2060 Space Park Dr Ste 408
Houston, TX 77058-3676
Phone
(281) 333-1062
Fax
(281) 335-4529
NPI assigned
Apr 7, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 7, 2008

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

Authorized official

Name
Enayet Rahim, MD
Title
Physician
Phone
(281) 333-1062

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X M4920 TX Primary

Addresses

Primary practice location

2060 Space Park Dr Ste 408
Houston, TX 77058-3676

Mailing address

PO Box 580525
Houston, TX 77258-0525
Phone (281) 333-1062

National Provider Directory

National Provider Directory

Locations

10904 Scarsdale Blvd
#350140
Houston, TX 77089

10904 Scarsdale Blvd
#3501
Houston, TX 77089

2060 Space Park Dr
Ste 408
Houston, TX 77058

Practitioners & affiliated clinicians

Practitioners 3

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": "1207526400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1207526400000",
    "number": "1497928964",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 580525",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "772580525",
            "telephone_number": "281-333-1062",
            "fax_number": "281-335-4529"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2060 SPACE PARK DR STE 408",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770583676",
            "telephone_number": "281-333-1062",
            "fax_number": "281-335-4529"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ENAYET RAHIM MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-07",
        "last_updated": "2008-04-07",
        "status": "A",
        "authorized_official_last_name": "RAHIM",
        "authorized_official_first_name": "ENAYET",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "281-333-1062",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "M4920",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2008; 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.