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1861465288

NPI Code Detail

MEDICARE: DR. MOHAMMAD ANISUR RAHMAN MD

MEDICARE: DR. MOHAMMAD ANISUR 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	41522	MN
2	207R00000X	Internal Medicine Physician	2012-02367	NC
3	207R00000X	Internal Medicine Physician	92373	SC

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

General Provider Information

NPI Number	:	1861465288
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MOHAMMAD ANISUR RAHMAN MD

Provider Business Mailing Address
First Line	:	5960 FAIRVIEW RD STE 500
Second Line	:
City	:	CHARLOTTE
State	:	NC
Zip	:	28210-3113
Country	:	US
Telephone Number	:	704-495-6334
Fax Number	:

Provider Business Practice Location Address
First Line	:	16817 MARVIN RD
Second Line	:
City	:	CHARLOTTE
State	:	NC
Zip	:	28277-2196
Country	:	US
Telephone Number	:	704-495-6334
Fax Number	:

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

Provider Enumeration Date	:	02/08/2006
Last Update Date	:	06/04/2026

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Directions to “ DR. MOHAMMAD ANISUR RAHMAN MD” Practice Location

Language	Start Address	Practice Location

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