MEDICARE: DR. SANGITA PARIKH RAHMAN 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
1	207Q00000X	Family Medicine Physician	L1963	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	A0119557	OTHER	TX	DPS NUMBER
2	L1963	OTHER	TX	LICENSE NUMBER
3	1184754038	OTHER		PRACTICE

General Provider Information

NPI Number	:	1457343428
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. SANGITA PARIKH RAHMAN M.D.

Provider Business Mailing Address
First Line	:	8517 FM 1826 BLDG 2
Second Line	:
City	:	AUSTIN
State	:	TX
Zip	:	78737-1473
Country	:	US
Telephone Number	:	512-416-0044
Fax Number	:

Provider Business Practice Location Address
First Line	:	7900 FM 1826 BLDG II
Second Line	:	STE 202
City	:	AUSTIN
State	:	TX
Zip	:	78737-1407
Country	:	US
Telephone Number	:	512-416-0044
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/16/2005
Last Update Date	:	07/05/2019

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