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Physician Compare National (NPI:1144689563)

HEALTHCARE PROVIDER: TALHA RAHMAN O.D.

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information

NPI 1144689563
Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID 3173805983
Unique individual clinician ID assigned by PECOS
Professional Enrollment ID I20190307002388
Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name RAHMAN
Individual professional last name
Provider First Name TALHA
Individual professional first name
Provider Gender M
The provider's gender if the provider is a person.

Medical School Information

Medical School Name OTHER
Individual professional's medical school
Graduation Year 2013
Individual professional's medical school graduation year
Primary Specialty OPTOMETRY
Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information

Line 1 Street Address 8710 GRAND MISSION BLVD
Group Practice or individual's line 1 address
Line 2 Street Address SUITE D
Group Practice or individual's line 2 address
City RICHMOND
Group Practice or individual's city
State TX
Group Practice or individual's state
Zip Code 774075413
Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information

Professional Accepts Medicare Assignment Y

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