Rahman, Mohammad Mahmudur
Rahman, Mohammad Mahmudur is an sole proprietor health care provider with primary practice located at 17012 Highland Ave Unit 101, Jamaica NY 11432-2782. He recently has only one registered license in Allopathic & Osteopathic Physicians / Geriatric Medicine, which is considered as his primary health care specialty. Rahman, Mohammad Mahmudur can be contacted via phone (718) 864-8882.Contact Information
Primary practice address
17012 Highland Ave Unit 101
Jamaica NY 11432-2782
Phone: (718) 864-8882
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Geriatric Medicine | 207RG0300X | 211211 | New York |
Profile Details
| NPI number | 1063504033 |
|---|---|
| LBN Legal business name | Rahman, Mohammad Mahmudur |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 28th, 2006 |
| Last updated | Mar 7th, 2023 - about last year |
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 | 1063504033 | NPPES |
| New York | MEDICAID | 01902643 |
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