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1508865239

NPI Code Detail

MEDICARE: KHAWAJA YASSIR RAHMAN M.D.

MEDICARE: KHAWAJA YASSIR RAHMAN 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	207RC0200X	Critical Care Medicine (Internal Medicine) Physician	59968	TN
2	207RC0200X	Critical Care Medicine (Internal Medicine) Physician	2024010352	MO
3	207RP1001X	Pulmonary Disease Physician	036134633	IL
4	207RC0200X	Critical Care Medicine (Internal Medicine) Physician	25MA10410200	NJ
5	207RC0200X	Critical Care Medicine (Internal Medicine) Physician	U8492	TX
6	207RC0200X	Critical Care Medicine (Internal Medicine) Physician	33242	MS
7	207R00000X	Internal Medicine Physician	75961	CT
8	207RC0200X	Critical Care Medicine (Internal Medicine) Physician	70066	AZ
9	207RC0200X	Critical Care Medicine (Internal Medicine) Physician	75961	CT
10	207RC0200X	Critical Care Medicine (Internal Medicine) Physician	ME133591	FL
11	207R00000X	Internal Medicine Physician	2004-01666	NC
12	207RC0200X	Critical Care Medicine (Internal Medicine) Physician	MD486985	PA
13	207RC0200X	Critical Care Medicine (Internal Medicine) Physician	29321	WV
14	207RC0200X	Critical Care Medicine (Internal Medicine) Physician	01090406A	IN
15	207R00000X	Internal Medicine Physician	036134633	IL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
5	1382M	OTHER	NC	BCBS OF NC
6	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1508865239
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KHAWAJA YASSIR RAHMAN M.D.

Provider Business Mailing Address
First Line	:	101 E MILLER RD
Second Line	:
City	:	STERLING
State	:	IL
Zip	:	61081-1252
Country	:	US
Telephone Number	:	815-625-4790
Fax Number	:

Provider Business Practice Location Address
First Line	:	6200 N LA CHOLLA BLVD
Second Line	:
City	:	TUCSON
State	:	AZ
Zip	:	85741-3529
Country	:	US
Telephone Number	:	520-742-9000
Fax Number	:

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

Provider Enumeration Date	:	07/15/2005
Last Update Date	:	10/09/2025

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Directions to “ KHAWAJA YASSIR RAHMAN M.D.” Practice Location

Language	Start Address	Practice Location

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