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General NPI Number Information
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NPI Number | 1154294833
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Entity Type | Organization
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Legal Business Name | SK PHYSICAL MEDICINE, PLLC
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Dates
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Enumeration Date | 09/29/2025
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Last Update Date | 12/02/2025
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Provider Practice Location Address
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Address Line | 6330 SARATOGA BLVD STE B
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City | CORPUS CHRISTI
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State | TX
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Zip | 78414-3482
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Country | US
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Telephone | 361-288-2388
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Fax | 361-288-2389
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Provider Business Mailing Address
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Address Line | PO BOX 18045
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City | CORPUS CHRISTI
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State | TX
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Zip | 78480-8045
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Country | US
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Telephone | 361-288-2388
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Fax | 361-288-2389
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Authorized Official
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Title or Position | MANAGING MEMBER
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Name | MOHAMMAD ANISUR RAHMAN
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Credential | MD
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Telephone | 347-574-5585
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208100000X
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Taxonomy Name | Physical Medicine & Rehabilitation Physician
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License Number |
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License Number State |
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