Healthcare Provider Details

I. General information

NPI: 1558356071
Provider Name (Legal Business Name): SABIR MUHAMMAD RAHMANNY MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

Provider Other Name: MUHAMMAD SABIR MD

II. Dates (important events)

Enumeration Date: 09/12/2005
Last Update Date: 09/14/2026
Certification Date: 09/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10740 GRANDVIEW DR
PALOS PARK IL
60464
US

IV. Provider business mailing address

238 E 90TH DR
MERRILLVILLE IN
46410-8102
US

V. Phone/Fax

Practice location:
  • Phone: 219-688-2835
  • Fax:
Mailing address:
  • Phone: 219-736-6870
  • Fax: 219-738-6714

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207P00000X
TaxonomyEmergency Medicine Physician
License Number036113583
License Number StateIL
# 2
Primary TaxonomyN
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number01051104
License Number StateIN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: