Healthcare Provider Details

I. General information

NPI: 1861497240
Provider Name (Legal Business Name): SHEIKH A RAHMAN M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/14/2005
Last Update Date: 10/21/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

276 BIELBY RD
LAWRENCEBURG IN
47025-2787
US

IV. Provider business mailing address

276 BIELBY RD
LAWRENCEBURG IN
47025-2787
US

V. Phone/Fax

Practice location:
  • Phone: 812-537-0344
  • Fax: 812-539-4827
Mailing address:
  • Phone: 812-537-0344
  • Fax: 812-539-4827

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberIN01028332
License Number StateIN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: