MEDICARE: USMAN JAVED RAHMAT

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
1	207RN0300X	Nephrology Physician	0101259988	VA

General Provider Information

NPI Number	:	1306007067
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	USMAN JAVED RAHMAT

Provider Business Mailing Address
First Line	:	609 JEFFERSON DAVIS HWY
Second Line	:	201
City	:	FREDERICKSBURG
State	:	VA
Zip	:	22401-4436
Country	:	US
Telephone Number	:	540-899-3107
Fax Number	:	540-899-3183

Provider Business Practice Location Address
First Line	:	609 JEFFERSON DAVIS HWY
Second Line	:	201
City	:	FREDERICKSBURG
State	:	VA
Zip	:	22401-4436
Country	:	US
Telephone Number	:	540-899-3107
Fax Number	:	540-899-3183

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/24/2008
Last Update Date	:	09/13/2018

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