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NPI Code Detail

MEDICARE: SHIRAAZ IKRAM RAHMAN MD

MEDICARE:   SHIRAAZ IKRAM RAHMAN  MD
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
1207W00000XOphthalmology Physician01078672AIN
2207WX0009XGlaucoma Specialist (Ophthalmology) Physician50378KY
3207W00000XOphthalmology Physician50378KY
4207WX0009XGlaucoma Specialist (Ophthalmology) Physician01078672AIN

Other Identifiers

General Provider Information

NPI Number : 1548536295
Entity Type Code : Individual
Provider Name (Legal Business Name) : SHIRAAZ IKRAM RAHMAN MD
Provider Business Mailing Address
First Line : 519 STATE ST
Second Line :
City : NEW ALBANY
State : IN
Zip : 47150-3620
Country : US
Telephone Number : 812-948-0616
Fax Number : 812-949-3447
Provider Business Practice Location Address
First Line : 519 STATE ST
Second Line :
City : NEW ALBANY
State : IN
Zip : 47150-3620
Country : US
Telephone Number : 812-948-0616
Fax Number : 812-949-3447
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/27/2012
Last Update Date : 06/10/2026

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Directions to “ SHIRAAZ IKRAM RAHMAN MD” Practice Location

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