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NPI Code Detail

MEDICARE: FIROZ PUSHKIN RAHMAN MD

MEDICARE: FIROZ PUSHKIN RAHMAN MD
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 Physician25MA07077500NJ
22084P0800XPsychiatry PhysicianMD069488LPA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1053351080
Entity Type Code : Individual
Provider Name (Legal Business Name) : FIROZ PUSHKIN RAHMAN MD
Provider Business Mailing Address
First Line : 905 HERRONTOWN RD
Second Line :
City : PRINCETON
State : NJ
Zip : 08540-1901
Country : US
Telephone Number : 814-366-1315
Fax Number :
Provider Business Practice Location Address
First Line : 905 HERRONTOWN RD
Second Line :
City : PRINCETON
State : NJ
Zip : 08540-1901
Country : US
Telephone Number : 814-366-1315
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/07/2006
Last Update Date : 11/12/2024

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Directions to “ FIROZ PUSHKIN RAHMAN MD” Practice Location

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