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NPI Code Detail

MEDICARE: DR. MD.MUSHFIQUR RAHMAN M.D.

MEDICARE: DR. MD.MUSHFIQUR RAHMAN M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
12084P0800XPsychiatry PhysicianMD447714PA

General Provider Information

NPI Number : 1013144211
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. MD.MUSHFIQUR RAHMAN M.D.
Provider Business Mailing Address
First Line : 335 S FRANKLIN ST
Second Line :
City : WILKES BARRE
State : PA
Zip : 18702-3808
Country : US
Telephone Number : 570-825-6425
Fax Number :
Provider Business Practice Location Address
First Line : 335 S FRANKLIN ST
Second Line :
City : WILKES BARRE
State : PA
Zip : 18702-3808
Country : US
Telephone Number : 570-825-6425
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/15/2009
Last Update Date : 02/15/2026

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