Rahman, Mahfuzur
Rahman, Mahfuzur is an sole proprietor health care provider with primary practice located at 728 Goodman Rd E Ste 2, Southaven MS 38671-9530. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Rahman, Mahfuzur can be contacted via phone (662) 349-1750.Contact Information
Primary practice address
728 Goodman Rd E Ste 2
Southaven MS 38671-9530
Phone: (662) 349-1750
Fax: (662) 349-2350
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | MD0000012769 | Tennessee |
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 10172 | Mississippi |
Profile Details
| NPI number | 1053402610 |
|---|---|
| LBN Legal business name | Rahman, Mahfuzur |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 27th, 2006 |
| Last updated | Jun 12th, 2018 - about 6 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1053402610 | NPPES |
| Mississippi | Other | 110001517 | MEDICARE |
| Mississippi | MEDICAID | 3181081 | MEDICARE |
| Mississippi | Other | 33309 | MEDICARE |
| Mississippi | Other | 110007796 | MEDICARE |
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