Raheem Medical Clinic P C

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

RAHEEM MEDICAL CLINIC P C

Practice address

1501 Wabash Street
Suite 105
Michigan City, IN 46360-4364

Phone

(219) 878-1300

Fax

(219) 878-9764

NPI assigned

Oct 30, 2012

Last updated

Oct 30, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mirza Raheem, M.D.NPI 1609886647

Title

President

Phone

(219) 878-1300

Specialties & licenses 1

Addresses

Locations

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.

• Mirza Raheem, M.D.

  • Internal Medicine Physician
  • La Jolla, CA
  • NPI 1609886647
  Authorized official Same address or phone
• Rachel Iva Fischer, NP

  • Family Nurse Practitioner
  • Michigan City, IN
  • NPI 1912992652
  NPD (past)

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

{
    "created_epoch": "1351555200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1351555200000",
    "number": "1851645790",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1501 WABASH STREET",
            "address_2": "SUITE 105",
            "city": "MICHIGAN CITY",
            "state": "IN",
            "postal_code": "463604364",
            "telephone_number": "219-878-1300",
            "fax_number": "219-878-9764"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1501 WABASH STREET",
            "address_2": "SUITE 105",
            "city": "MICHIGAN CITY",
            "state": "IN",
            "postal_code": "463604364",
            "telephone_number": "219-878-1300",
            "fax_number": "219-878-9764"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RAHEEM MEDICAL CLINIC P C",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-10-30",
        "last_updated": "2012-10-30",
        "status": "A",
        "authorized_official_last_name": "RAHEEM",
        "authorized_official_first_name": "MIRZA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "219-878-1300",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Syed Mohammed Quadri, D.O.
• Hasan M Qutob, MD
• R I Fischer LLC
• Mary Donohue Rachford, P.T.
• Matthew John Rachwalski, D.O.
• Megan Rahn, PHARMD
• Sanjay V Raikar, MD
• Carey Bernard Ransone, M.D.
• Rapid Response
• Deborah Reason, LCSW

• Internal Medicine Physician in Michigan City, IN
• Providers in Michigan City, IN by specialty
• Internal Medicine Physician in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2012; 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.