Rahim Khorassanizadeh, MD

Primary specialty

Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X

License

E-9226 Issued in AR

Practice address

4700 Kelley Hwy
Fort Smith, AR 72904-5024

Phone

(479) 709-7460

Fax

(479) 424-2423

NPI assigned

Jul 14, 2010

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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

{
    "created_epoch": "1279065600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1453334400000",
    "number": "1790097129",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4700 KELLEY HWY",
            "city": "FORT SMITH",
            "state": "AR",
            "postal_code": "729045024",
            "telephone_number": "479-709-7460",
            "fax_number": "479-424-2423"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4700 KELLEY HWY",
            "city": "FORT SMITH",
            "state": "AR",
            "postal_code": "729045024",
            "telephone_number": "479-709-7460",
            "fax_number": "479-424-2423"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHORASSANIZADEH",
        "first_name": "RAHIM",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-07-14",
        "last_updated": "2016-01-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RE0101X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "AR",
            "license": "E-9226",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Muhammad Omar Khan
• Sibgha Khan
• Akashdeep Sing Khehra
• Sanjay V Khemka, MD
• Faria Khilji
• Caroline Kibe, PHARMD
• Kiddos Therapy
• Kids Choice Fort Smith
• Kids Unlimited Learning Academy of Fort Smith
• Kids Unlimited Learning Academy of Ft. Smith

• Endocrinology, Diabetes & Metabolism Physician in Fort Smith, AR
• Providers in Fort Smith, AR by specialty
• Endocrinology, Diabetes & Metabolism Physician in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2016; 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.