MEDICARE: SOFIA RAHMAN MUNIR 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	207Q00000X	Family Medicine Physician	M0537	TX

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	04977773	OTHER		ECFMG

General Provider Information

NPI Number	:	1881653541
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SOFIA RAHMAN MUNIR M.D.

Provider Business Mailing Address
First Line	:	7215 WYOMING SPGS
Second Line	:	BLD. 2., SUITE 300A
City	:	ROUND ROCK
State	:	TX
Zip	:	78681-4312
Country	:	US
Telephone Number	:	512-341-0900
Fax Number	:	512-341-2895

Provider Business Practice Location Address
First Line	:	7215 WYOMING SPGS
Second Line	:	BLD. 2., SUITE 300A
City	:	ROUND ROCK
State	:	TX
Zip	:	78681-4312
Country	:	US
Telephone Number	:	512-341-0900
Fax Number	:	512-341-2895

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

Provider Enumeration Date	:	03/21/2006
Last Update Date	:	07/08/2010

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Directions to “ SOFIA RAHMAN MUNIR M.D.” Practice Location

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