MEDICARE: DR. FAHMIA 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
1	207R00000X	Internal Medicine Physician	113703	GA

General Provider Information

NPI Number	:	1538861430
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. FAHMIA RAHMAN MD

Provider Business Mailing Address
First Line	:	1132 ATHENS HWY STE 207
Second Line	:
City	:	GRAYSON
State	:	GA
Zip	:	30017-1760
Country	:	US
Telephone Number	:	678-312-0301
Fax Number	:	678-225-0208

Provider Business Practice Location Address
First Line	:	1132 ATHENS HWY STE 207
Second Line	:
City	:	GRAYSON
State	:	GA
Zip	:	30017-1760
Country	:	US
Telephone Number	:	678-312-0301
Fax Number	:	678-225-0208

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

Provider Enumeration Date	:	03/22/2023
Last Update Date	:	06/14/2026

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