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NPI Code Detail

MEDICARE: DR. AMIN RAHMATULLAH M.D.

MEDICARE: DR. AMIN RAHMATULLAH M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207RC0000XCardiovascular Disease Physician37497MN

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1144268764
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. AMIN RAHMATULLAH M.D.
Provider Business Mailing Address
First Line : 2925 CHICAGO AVE
Second Line :
City : MINNEAPOLIS
State : MN
Zip : 55407-1321
Country : US
Telephone Number : 612-262-5000
Fax Number :
Provider Business Practice Location Address
First Line : 4040 COON RAPIDS BLVD NW
Second Line : SUITE 120
City : MINNEAPOLIS
State : MN
Zip : 55433-4567
Country : US
Telephone Number : 763-427-9980
Fax Number : 763-427-9908
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/04/2006
Last Update Date : 11/10/2020

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