| Fazal Rahim, MD | |
|
200 Battle St E, Talladega, AL 35160-2420 | |
| (256) 362-9677 | |
| (256) 362-9676 |
| Full Name | Fazal Rahim |
|---|---|
| Gender | Male |
| Speciality | Neurology |
| Experience | 29 Years |
| Location | 200 Battle St E, Talladega, Alabama |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811097462 | NPI | - | NPPES |
| 009960855 | Medicaid | AL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | 25571 (Alabama) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| St Vincent's St Clair | Pell city, AL | Hospital |
| Citizens Baptist Medical Center | Talladega, AL | Hospital |
| Coosa Valley Medical Center | Sylacauga, AL | Hospital |
| St. Vincent's East | Birmingham, AL | Hospital |
| Entity Name | Tri-city Neurology |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1437384732 PECOS PAC ID: 0547313702 Enrollment ID: O20090805000471 |
| Entity Name | Vincentian Physician Services Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1851698310 PECOS PAC ID: 1557548161 Enrollment ID: O20110608000452 |
| Entity Name | Eastside Pet Center Llc |
|---|---|
| Entity Type | Part B Supplier - Independent Diagnostic Testing Facility (idtf) |
| Entity Identifiers | NPI Number: 1649855545 PECOS PAC ID: 2860594090 Enrollment ID: O20211110001404 |
| Entity Name | Continuum Health Aic, Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1669129169 PECOS PAC ID: 0143626382 Enrollment ID: O20220426002625 |
| Mailing Address | Practice Location Address |
|---|---|
| Fazal Rahim, MD 200 Battle St E, Talladega, AL 35160-2420 Ph: (256) 362-9677 | Fazal Rahim, MD 200 Battle St E, Talladega, AL 35160-2420 Ph: (256) 362-9677 |