Active NPI
Mustafa Rahim MD Inc
- Internal Medicine Physician
- Beckley, WV
National Provider Identifier
1750405346
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 18191
- Legal business name
- MUSTAFA RAHIM MD INC
- Practice address
- 250 Stanaford Rd
Beckley, WV 25801-3140 - Phone
- (304) 256-6500
- Fax
- (304) 254-2759
- NPI assigned
- Mar 19, 2007
- Last updated
- Oct 31, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Mustafa Rahim, M.D.
- Title
- Owner
- Phone
- (304) 256-6500
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 18191 | WV | Primary |
Addresses
Primary practice location
250 Stanaford Rd
Beckley, WV 25801-3140
Mailing address
PO Box 964
Beckley, WV 25802-0964
Phone (304) 256-6500
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WV
Enrollment records 1
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 2
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.
-
- Internal Medicine Physician
- Beckley, WV
- NPI 1831289891
-
- Family Nurse Practitioner
- Beckley, WV
- NPI 1386367787
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174262400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1193788800000",
"number": "1750405346",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 964",
"city": "BECKLEY",
"state": "WV",
"postal_code": "258020964",
"telephone_number": "304-256-6500",
"fax_number": "304-254-2759"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "250 STANAFORD RD",
"city": "BECKLEY",
"state": "WV",
"postal_code": "258013140",
"telephone_number": "304-256-6500",
"fax_number": "304-254-2759"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MUSTAFA RAHIM MD INC",
"organizational_subpart": "NO",
"enumeration_date": "2007-03-19",
"last_updated": "2007-10-31",
"status": "A",
"authorized_official_last_name": "RAHIM",
"authorized_official_first_name": "MUSTAFA",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "304-256-6500",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "WV",
"license": "18191",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Beckley, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.