Healthcare Provider Details

I. General information

NPI: 1083023998
Provider Name (Legal Business Name): ASAD UR RAHMAN M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/05/2014
Last Update Date: 05/20/2026
Certification Date: 05/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2950 CLEVELAND CLINIC BLVD DEPT OF
WESTON FL
33331-3625
US

IV. Provider business mailing address

2950 CLEVELAND CLINIC BLVD DEPARTMENT OF GASTROENTEORLOGY
WESTON FL
33331-3625
US

V. Phone/Fax

Practice location:
  • Phone: 407-303-7270
  • Fax: 407-303-2553
Mailing address:
  • Phone: 954-659-5646
  • Fax: 954-659-5647

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RG0100X
TaxonomyGastroenterology Physician
License NumberME131232
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberTRN19943
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: