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ABDUL-RAHIM MOHAMMED NPI 1730570300


NPI Information

NPI: 1730570300
Provider Name: ABDUL-RAHIM, MOHAMMED

Doing Business As: SUNSHINE PEDIATRICS

Classification: Pediatrics - 208000000X
Entity Type: Organization

CLIA Number: 10D1074689

Address:
340 W 23RD ST
SUITE K
PANAMA CITY, FL
ZIP 32405
Phone: (850) 747-8787
Get Directions

ABDUL-RAHIM, MOHAMMED is a pediatrics in Panama City, FL. The provider is a pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. ABDUL-RAHIM, MOHAMMED NPI is 1730570300. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Sunshine Pediatrics.

The provider's business location address is:

340 W 23RD ST
SUITE K
PANAMA CITY, FL
ZIP 32405-600
Phone: (850) 747-8787

The provider's authorized official is Mohammed Abdul-rahim .
The authorized official title is Owner and has the following contact phone number (850) 747-8787.

The CLIA number assigned to this NPI record is 10D1074689 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 2/18/2015 and was last updated on 1/31/2022.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1208000000XPediatrics78574FLORIDAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
147026OTHERFLORIDABLUE CROSS BLUE SHIELD
27907172OTHERFLORIDAAETNA
3256892600MEDICAIDFLORIDA
41975621OTHERFLORIDACIGNA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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