Rahman, Azizur

Rahman, Azizur is an individual health care provider with primary practice located at 695 N Perryville Rd , Rockford IL 61107-6225. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Rahman, Azizur can be contacted via phone (815) 904-6011.

Contact Information

Primary practice address
695 N Perryville Rd Rockford IL 61107-6225
Phone: (815) 904-6011
Fax: (815) 399-5543
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X O36129423 Illinois

Profile Details

NPI number 1346212693
LBN Legal business name Rahman, Azizur
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 2nd, 2006
Last updated Aug 13th, 2020 - about 5 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 1346212693 NPPES
Tennessee Other 621298175 DEFAULT
Tennessee Other 4134410 DEFAULT
Tennessee Other 4134410 DEFAULT
Tennessee Other P01320105 DEFAULT
Tennessee Other 371909283 DEFAULT
Tennessee MEDICAID 3843144 DEFAULT
Tennessee Other 4134410 DEFAULT

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