| Mustafa Rahim MD Inc | |
|
250 Stanaford Rd Beckley WV 25801-3140 | |
| (304) 256-6500 | |
| (304) 254-2759 |
| Full Name | Mustafa Rahim MD Inc |
|---|---|
| Speciality | Internal Medicine |
| Location | 250 Stanaford Rd, Beckley, West Virginia |
| Authorized Official Name and Position | Mustafa Rahim (OWNER) |
| Authorized Official Contact | 3042566500 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mustafa Rahim MD Inc Po Box 964 Beckley WV 25802-0964 Ph: (304) 256-6500 | Mustafa Rahim MD Inc 250 Stanaford Rd Beckley WV 25801-3140 Ph: (304) 256-6500 |
| NPI Number | 1750405346 |
|---|---|
| Provider Enumeration Date | 03/19/2007 |
| Last Update Date | 10/31/2007 |
| Medicare PECOS PAC ID | 2365488996 |
|---|---|
| Medicare Enrollment ID | O20050705000643 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750405346 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 18191 (West Virginia) | Primary |
| Provider Name | Mustafa Rahim |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1831289891 PECOS PAC ID: 0244286300 Enrollment ID: I20050325000395 |
| Provider Name | Jessica Bartram |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386367787 PECOS PAC ID: 1557851284 Enrollment ID: I20251110002825 |
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