MEDICARE: RIAZ U RAHMAN

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	333600000X	Pharmacy
2	3336C0003X	Community/Retail Pharmacy	PP413665L	PA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	2084799	OTHER		PK
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1841419157
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	RIAZ U RAHMAN

Provider Business Mailing Address
First Line	:	4511 N 5TH ST
Second Line	:
City	:	PHILADELPHIA
State	:	PA
Zip	:	19140-2309
Country	:	US
Telephone Number	:	215-457-5555
Fax Number	:	215-457-8340

Provider Business Practice Location Address
First Line	:	4511 N 5TH ST
Second Line	:
City	:	PHILADELPHIA
State	:	PA
Zip	:	19140-2309
Country	:	US
Telephone Number	:	215-457-5555
Fax Number	:	215-457-8340

Authorized Official
Title or Position	:	OWNER
Name	:	RIAZ RAHMAN
Credential	:
Telephone Number	:	215-457-5555

Provider Enumeration Date	:	04/25/2007
Last Update Date	:	01/08/2016

Similar Medicare Providers

1093867772 — PAN AMERICAN MENTAL HEALTH SERVICES INC
Practice Location Address:

4519 N 5TH ST
PHILADELPHIA, PA
19140-2309

Practice Phone: 215-457-1620
Practice Fax: 215-457-0350

1235115528 — DR. TUYET BA TRIEU DMD
Practice Location Address:

4527 N 5TH ST
PHILADELPHIA, PA
19140-2309

Practice Phone: 215-329-5962
Practice Fax: 215-329-5962

1720200926 — DR. RICHARD ALAN MUFSON M.D.
Practice Location Address:

4519 N 5TH ST
PHILADELPHIA, PA
19140-2309

Practice Phone: 215-785-1232
Practice Fax:

1447633862 — DR. MOHAMMAD ALI-SHAN JAVID PHARMD
Practice Location Address:

4511 N 5TH ST
PHILADELPHIA, PA
19140-2309

Practice Phone: 215-457-5555
Practice Fax: 215-457-8340

1811370760 — RIAZ RAHMAN
Practice Location Address:

4511 N 5TH ST
PHILADELPHIA, PA
19140-2309

Practice Phone: 215-457-5555
Practice Fax: 215-457-8340

1770956807 — ABDUL REHMAN RPH
Practice Location Address:

4511 N 5TH ST
PHILADELPHIA, PA
19140-2309

Practice Phone: 215-457-5555
Practice Fax:

Directions to “RIAZ U RAHMAN ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.