MEDICARE: FATIMAH RAHMAN-KADIKU PHYSICIAN ASSISTANT

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	363A00000X	Physician Assistant		NY

General Provider Information

NPI Number	:	1568315117
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	FATIMAH RAHMAN-KADIKU PHYSICIAN ASSISTANT

Provider Business Mailing Address
First Line	:	320 E 159TH ST APT 2Q
Second Line	:
City	:	BRONX
State	:	NY
Zip	:	10451-4374
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1160 TELLER AVE
Second Line	:
City	:	BRONX
State	:	NY
Zip	:	10456-4291
Country	:	US
Telephone Number	:	718-293-1500
Fax Number	:

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

Provider Enumeration Date	:	02/16/2026
Last Update Date	:	03/13/2026

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