Healthcare Provider Details
I. General information
NPI: 1083691919
Provider Name (Legal Business Name): RASHID RAHMAN M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 12/30/2005
Last Update Date: 07/17/2020
Certification Date: 07/17/2020
Deactivation Date:
Reactivation Date:
III. Provider practice location address
4510 MEDICAL CENTER DR STE 312
MCKINNEY TX
75069-1604
US
IV. Provider business mailing address
2821 GEORGE BUSH HWY STE 407
RICHARDSON TX
75082-4279
US
V. Phone/Fax
- Phone: 972-542-2186
- Fax: 972-542-1210
- Phone: 972-680-0668
- Fax: 972-680-2499
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 207RC0200X |
| Taxonomy | Critical Care Medicine (Internal Medicine) Physician |
| License Number | L9437 |
| License Number State | TX |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207RP1001X |
| Taxonomy | Pulmonary Disease Physician |
| License Number | L9437 |
| License Number State | TX |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: