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NPI Code Detail

MEDICARE: DR. MOHAMMAD H RAHMAN MD

MEDICARE:  DR. MOHAMMAD H 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
1207KA0200XAllergy Physician34881MO

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
7437407473DOTHERMOMEDICARE HIC

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
10004000868OTHERMOAETNA
226775OTHERMOBLUECROSS BLUE SHIELD
3P0200039OTHERMOUNITEDHEALTHCARE
40689941002OTHERMOCIGNA
50006000455OTHERILBLUECROSSBLUESHIELD
634512OTHERMOGROUP HEALTH PLAN

General Provider Information

NPI Number : 1497742555
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. MOHAMMAD H RAHMAN MD
Provider Business Mailing Address
First Line : 12365 N VIA TUSCANIA
Second Line :
City : CLOVIS
State : CA
Zip : 93619
Country : US
Telephone Number : 314-878-7988
Fax Number : 314-878-7988
Provider Business Practice Location Address
First Line : 12365 N VIA TUSCANIA
Second Line :
City : CLOVIS
State : CA
Zip : 93619
Country : US
Telephone Number : 314-878-7988
Fax Number : 314-878-7988
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/04/2005
Last Update Date : 01/30/2019

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Directions to “ DR. MOHAMMAD H RAHMAN MD” Practice Location

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