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General NPI Number Information
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NPI Number | 1285690669
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Entity Type | Individual
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Provider Name | GHAZALA FARAH RAHMAN M.D.
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Gender | Female
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Dates
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Enumeration Date | 04/25/2006
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Last Update Date | 08/08/2025
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Provider Practice Location Address
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Address Line | 350 W CEDAR ST
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City | PENSACOLA
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State | FL
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Zip | 32502-4910
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Country | US
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Telephone | 800-444-7009
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 4059
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City | WAYNE
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State | NJ
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Zip | 07474-4059
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Country | US
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Telephone | 973-826-8291
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Fax | 888-972-6480
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | 036106974
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License Number State | IL
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Taxonomy #2
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Taxonomy Code | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | 205331-1
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License Number State | NY
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Taxonomy #3
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Taxonomy Code | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | MD447749
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License Number State | PA
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