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NPI Code Detail

MEDICARE: DR. AYESHA RAHMAN MD

MEDICARE:  DR. AYESHA  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
1207RI0200XInfectious Disease Physician251107NY
2207R00000XInternal Medicine Physician002553NY

General Provider Information

NPI Number : 1578518635
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. AYESHA RAHMAN MD
Provider Business Mailing Address
First Line : 66 STEPHAN MARC LN
Second Line :
City : NEW HYDE PARK
State : NY
Zip : 11040-1811
Country : US
Telephone Number : 917-617-9935
Fax Number :
Provider Business Practice Location Address
First Line : 2091 NOSTRAND AVE
Second Line :
City : BROOKLYN
State : NY
Zip : 11210-2549
Country : US
Telephone Number : 718-604-5402
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/24/2006
Last Update Date : 02/15/2022

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