MEDICARE: ROBERT RAHMANI D.O

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	207RC0000X	Cardiovascular Disease Physician	2534171	NY

General Provider Information

NPI Number	:	1356582308
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ROBERT RAHMANI D.O

Provider Business Mailing Address
First Line	:	6902 AUSTIN ST
Second Line	:	2ND FLOOR
City	:	FOREST HILLS
State	:	NY
Zip	:	11375-4233
Country	:	US
Telephone Number	:	718-793-6800
Fax Number	:	347-392-4179

Provider Business Practice Location Address
First Line	:	6902 AUSTIN ST
Second Line	:	2ND FLOOR
City	:	FOREST HILLS
State	:	NY
Zip	:	11375-4233
Country	:	US
Telephone Number	:	718-793-6800
Fax Number	:	347-392-4179

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

Provider Enumeration Date	:	03/19/2009
Last Update Date	:	08/01/2014

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