Rahimi, Abdollah

Rahimi, Abdollah is an individual health care provider with primary practice located at 15600 36Th Ave N Suite 100, Plymouth MN 55446-3369. He recently has only one registered license in Dental Providers / Oral and Maxillofacial Pathology, which is considered as his primary health care specialty. Rahimi, Abdollah can be contacted via phone (763) 559-7688.

Contact Information

Primary practice address
15600 36Th Ave N Suite 100 Plymouth MN 55446-3369
Fax: (763) 559-2237
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Oral and Maxillofacial Pathology 1223P0106X D10465 Minnesota

Profile Details

NPI number 1801881370
LBN Legal business name Rahimi, Abdollah
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 12th, 2005
Last updated Jul 8th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1801881370 NPPES
Minnesota Other 52D14RA BLUE CROSS BLUE SHIELD
Minnesota Other 01006428 BLUE CROSS BLUE SHIELD
Minnesota Other 86-24115 BLUE CROSS BLUE SHIELD

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