Healthcare Provider Details

I. General information

NPI: 1477285831
Provider Name (Legal Business Name): RUMANA AHMED DO
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/25/2022
Last Update Date: 07/23/2026
Certification Date: 07/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

736 CAMBRIDGE ST
BRIGHTON MA
02135-2907
US

IV. Provider business mailing address

11 NEVINS ST
BRIGHTON MA
02135-3514
US

V. Phone/Fax

Practice location:
  • Phone: 904-625-4410
  • Fax:
Mailing address:
  • Phone: 617-789-2103
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number1026487
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: