Healthcare Provider Details

I. General information

NPI: 1295789386
Provider Name (Legal Business Name): JAVED RAHMAT M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/22/2006
Last Update Date: 03/14/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4915 AUBURN AVE SUITE 104
BETHESDA MD
20814-2636
US

IV. Provider business mailing address

PO BOX 418283
BOSTON MA
02241-8283
US

V. Phone/Fax

Practice location:
  • Phone: 301-907-4646
  • Fax: 301-907-7796
Mailing address:
  • Phone: 703-558-1544
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RN0300X
TaxonomyNephrology Physician
License NumberD0024706
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: