Rahmanian, Bobak Reza

Rahmanian, Bobak Reza is an individual health care provider with primary practice located at 13691 Metro Pkwy Ste 400 , Fort Myers FL 33912-4349. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Rahmanian, Bobak Reza can be contacted via phone (239) 440-6456.

Contact Information

Primary practice address
13691 Metro Pkwy Ste 400 Fort Myers FL 33912-4349
Phone: (239) 440-6456
Fax: (239) 236-0337
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X DOS911 Hawaii
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X OS11406 Florida

Profile Details

NPI number 1124068325
LBN Legal business name Rahmanian, Bobak Reza
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 7th, 2006
Last updated Aug 4th, 2020 - about 4 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 1124068325 NPPES
Hawaii Other A015 TRICARE
Hawaii MEDICAID 53784704 TRICARE
Hawaii MEDICAID 53784705 TRICARE

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