MEDICARE: DR. SARIM RAHMAN MIR M.D.

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	2084N0400X	Neurology Physician	D0050807	MD

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
8	DC5469	OTHER	MD	MEDICARE RR
13	130018253	OTHER	MD	MEDICARE RR-INDIVIDUAL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	177103500	OTHER	MD	MAMD
2	441331	OTHER	MD	MAMSI
3	545515	OTHER	MD	AET
4	M1908976	OTHER	MD	BSPA
5	0090506000	OTHER	WV	WVMA
6	0500381	OTHER	MD	UNITED HEALTH CARE
7	522091771003	OTHER	MD	CIGNA
9	130018253	OTHER	MD	CHES
10	OM34	OTHER	MD	BCBS
11	130018253	OTHER	MD	MBRR
12	886M655F	OTHER	MD	MBMD
14	1524420	OTHER		UMW
15	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
16	OM34	OTHER	MD	BCPC

General Provider Information

NPI Number	:	1497793087
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. SARIM RAHMAN MIR M.D.

Provider Business Mailing Address
First Line	:	11110 MEDICAL CAMPUS RD STE 151
Second Line	:
City	:	HAGERSTOWN
State	:	MD
Zip	:	21742-6755
Country	:	US
Telephone Number	:	301-797-7600
Fax Number	:	301-517-7636

Provider Business Practice Location Address
First Line	:	11110 MEDICAL CAMPUS RD STE 151
Second Line	:
City	:	HAGERSTOWN
State	:	MD
Zip	:	21742-6755
Country	:	US
Telephone Number	:	301-797-7600
Fax Number	:	301-517-7636

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

Provider Enumeration Date	:	06/03/2006
Last Update Date	:	11/20/2024

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