Rahman, Khawaja Yassir

Rahman, Khawaja Yassir is an individual health care provider with primary practice located at 1505 Eastland Dr Ste 320 , Bloomington IL 61701-7912. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Critical Care Medicine, Allopathic & Osteopathic Physicians / Pulmonary Disease. Allopathic & Osteopathic Physicians / Pulmonary Disease is his primary health care specialty. Rahman, Khawaja Yassir can be contacted via phone (309) 661-2368.

Contact Information

Primary practice address
1505 Eastland Dr Ste 320 Bloomington IL 61701-7912
Phone: (309) 661-2368
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 036134633 Illinois
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 2004-01666 North Carolina
Allopathic & Osteopathic Physicians / Critical Care Medicine 207RC0200X ME133591 Florida
Allopathic & Osteopathic Physicians / Critical Care Medicine 207RC0200X 75961 Connecticut
Allopathic & Osteopathic Physicians / Pulmonary Disease 207RP1001X 036134633 Illinois

Profile Details

NPI number 1508865239
LBN Legal business name Rahman, Khawaja Yassir
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 15th, 2005
Last updated Dec 7th, 2023 - about 2 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 1508865239 NPPES
North Carolina Other 1382M BCBS OF NC
North Carolina MEDICAID 5900244 BCBS OF NC

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