Healthcare Provider Details

I. General information

NPI: 1730016189
Provider Name (Legal Business Name): BIKASH ISLAM RAHAT MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/07/2026
Last Update Date: 05/07/2026
Certification Date: 05/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

259 1ST ST
MINEOLA NY
11501-3957
US

IV. Provider business mailing address

3421 62ND ST APT 2ND
WOODSIDE NY
11377-2147
US

V. Phone/Fax

Practice location:
  • Phone: 516-240-7200
  • Fax:
Mailing address:
  • Phone: 917-216-4849
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: