Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mirza Raheem, MD

Individual provider Internal Medicine Physician · NPI 1609886647

Mirza Raheem, MD is an Internal Medicine Physician in LA Jolla, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

9850 Genesee Ave Ste 320
LA Jolla, CA 92037-1208
Phone: (858) 554-1212
Fax: (858) 795-1195
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence 140215 (CA)

Record details

NPI number1609886647
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedAugust 9, 2006
Last updated in NPPESJuly 2, 2020
Certification dateJuly 2, 2020
Mailing address1501 Wabash St Ste 105, Michigan City, IN 46360-4364

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