Organization Active NPI

Pervaiz Rahman, M.D. P.a.

  • Gastroenterology Physician
  • Dallas, TX
National Provider Identifier
1629103015
Registry record updated Jul 17, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
F7892 Issued in TX
Legal business name
PERVAIZ RAHMAN, M.D. P.A.
Practice address
12800 Hillcrest Rd
Suite123
Dallas, TX 75230-1524
Phone
(972) 681-9800
Fax
(972) 681-9804
NPI assigned
Feb 23, 2007
Last updated
Jul 17, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 17, 2007

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

Authorized official

Name
Dr. Pervaiz Rahman, M.D.NPI 1598772402
Title
President
Phone
(972) 681-9800

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RG0100X F7892 TX Primary

Addresses

Primary practice location

12800 Hillcrest Rd
Suite123
Dallas, TX 75230-1524

Mailing address

12800 Hillcrest Rd
Suite123
Dallas, TX 75230-1524
Phone (972) 681-9800

National Provider Directory

National Provider Directory

Locations

1 Medical Pkwy
Ste 103
Dallas, TX 75234
Phone (972) 488-9656

12800 Hillcrest Rd
Ste 123
Dallas, TX 75230
Phone (972) 681-9800

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1172188800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1184630400000",
    "number": "1629103015",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12800 HILLCREST RD",
            "address_2": "SUITE123",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752301524",
            "telephone_number": "972-681-9800",
            "fax_number": "972-681-9804"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12800 HILLCREST RD",
            "address_2": "SUITE123",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752301524",
            "telephone_number": "972-681-9800",
            "fax_number": "972-681-9804"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PERVAIZ RAHMAN, M.D. P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-23",
        "last_updated": "2007-07-17",
        "status": "A",
        "authorized_official_last_name": "RAHMAN",
        "authorized_official_first_name": "PERVAIZ",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "972-681-9800",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "TX",
            "license": "F7892",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2007; 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.