Rahman, Wassam M

Rahman, Wassam M is an individual health care provider with primary practice located at 501 6Th Ave S Dept 6941, St Petersburg FL 33701-4634. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Emergency Medicine, which is considered as his primary health care specialty. Rahman, Wassam M can be contacted via phone (727) 767-8480.

Contact Information

Primary practice address
501 6Th Ave S Dept 6941 St Petersburg FL 33701-4634
Fax: (727) 767-8420
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatric Emergency Medicine 2080P0204X ME73031 Florida

Profile Details

NPI number 1215962154
LBN Legal business name Rahman, Wassam M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 11th, 2006
Last updated Feb 22nd, 2010 - about 14 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 1215962154 NPPES
Florida MEDICAID 252262400

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