MEDICARE: MOHAMMAD ANISUR 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	208100000X	Physical Medicine & Rehabilitation Physician	213014	NY
2	208100000X	Physical Medicine & Rehabilitation Physician	86643	GA
3	208100000X	Physical Medicine & Rehabilitation Physician	25MA06837700	NJ
4	208100000X	Physical Medicine & Rehabilitation Physician	ME132633	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	1677409-003	OTHER	NY	CIGNA INSURANCE
2	275060	OTHER	NY	WELL CARE
3	2I205	OTHER	NY	BLUE CROSS, BLUE SHIELD
4	4C3393	OTHER	NY	HEALTH-NET
5	7664365	OTHER	NY	AETNA POS AND PPO
6	2166811	OTHER	NY	UNITED HEALTH CARE -COMME
7	2300691	OTHER	NY	UNITED HEALTHCARE GOVRNME
8	P2577111	OTHER	NY	OXFORD HEALTH PLANS
9	2879068	OTHER	NY	AETNA HMO
10	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1770591455
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MOHAMMAD ANISUR RAHMAN M.D

Provider Business Mailing Address
First Line	:	PO BOX 18045
Second Line	:
City	:	CORPUS CHRISTI
State	:	TX
Zip	:	78480-8045
Country	:	US
Telephone Number	:	361-288-2388
Fax Number	:	361-288-2389

Provider Business Practice Location Address
First Line	:	6330 SARATOGA BLVD STE B
Second Line	:
City	:	CORPUS CHRISTI
State	:	TX
Zip	:	78414-3482
Country	:	US
Telephone Number	:	361-288-2388
Fax Number	:	361-288-2389

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

Provider Enumeration Date	:	08/04/2006
Last Update Date	:	12/02/2025

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