{
"Npi": {
"NPI": "1356827174",
"EntityType": "Individual",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": "N",
"IsOrgSubpart": null,
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": null,
"LastName": "RAHMAN",
"FirstName": "M RUBAYAT",
"MiddleName": null,
"NamePrefix": null,
"NameSuffix": null,
"Credential": "MD",
"OtherOrgName": null,
"OtherOrgNameTypeCode": null,
"OtherLastName": null,
"OtherFirstName": null,
"OtherMiddleName": null,
"OtherNamePrefix": null,
"OtherNameSuffix": null,
"OtherCredential": null,
"OtherLastNameTypeCode": null,
"FirstLineMailingAddress": "7497 JOHN HANCOCK DR",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "WINTER GARDEN",
"MailingAddressStateName": "FL",
"MailingAddressPostalCode": "34787-5691",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "806-407-4877",
"MailingAddressFaxNumber": null,
"FirstLinePracticeLocationAddress": "910 OLD CAMP RD STE 210",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "THE VILLAGES",
"PracticeLocationAddressStateName": "FL",
"PracticeLocationAddressPostalCode": "32162-5605",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "352-751-3356",
"PracticeLocationAddressFaxNumber": "352-751-3359",
"EnumerationDate": "07/15/2018",
"LastUpdateDate": "06/05/2025",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": "M",
"Gender": "Male",
"AuthorizedOfficialLastName": null,
"AuthorizedOfficialFirstName": null,
"AuthorizedOfficialMiddleName": null,
"AuthorizedOfficialTitle": null,
"AuthorizedOfficialNamePrefix": null,
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": null,
"AuthorizedOfficialTelephoneNumber": null,
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "207RI0011X",
"TaxonomyName": "Interventional Cardiology Physician",
"LicenseNumber": "ME172042",
"LicenseNumberStateCode": "FL",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}