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NPI Code Detail

MEDICARE: DR. KAUSAR RAHMAN DDS

MEDICARE: DR. KAUSAR RAHMAN DDS
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
11223G0001XGeneral Practice Dentistry2901019933MI

General Provider Information

NPI Number : 1366772717
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. KAUSAR RAHMAN DDS
Provider Business Mailing Address
First Line : 1141 FOXBORO
Second Line :
City : TROY
State : MI
Zip : 48083-5460
Country : US
Telephone Number : 248-212-1724
Fax Number :
Provider Business Practice Location Address
First Line : 7900 KERCHEVAL ST
Second Line :
City : DETROIT
State : MI
Zip : 48214-2439
Country : US
Telephone Number : 313-921-5500
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/07/2010
Last Update Date : 04/29/2013

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Directions to “ DR. KAUSAR RAHMAN DDS” Practice Location

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