Individual provider · Type 1 NPI

Diba Rahmani, PA-C

Medical Physician Assistant · Grand Rapids, MI

NPI number 1053770255 Active

Practice location

100 Cherry St SE
Grand Rapids, MI 49503-4526

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700XNone listed

Medical Physician Assistant: Definition to come...

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About NPI 1053770255

Diba Rahmani, PA-C's National Provider Identifier is 1053770255, issued on Feb 16, 2016. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Grand Rapids, MI. The record was last updated on Feb 16, 2016.