MEDICARE: MOHAMED S 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	207RC0001X	Clinical Cardiac Electrophysiology Physician	P3959	TX

General Provider Information

NPI Number	:	1932121571
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MOHAMED S RAHMAN MD

Provider Business Mailing Address
First Line	:	425 N HIGHLAND AVE STE 200
Second Line	:
City	:	SHERMAN
State	:	TX
Zip	:	75092-7383
Country	:	US
Telephone Number	:	214-701-7816
Fax Number	:	844-831-5514

Provider Business Practice Location Address
First Line	:	425 N HIGHLAND AVE STE 200
Second Line	:
City	:	SHERMAN
State	:	TX
Zip	:	75092-7383
Country	:	US
Telephone Number	:	903-251-3252
Fax Number	:	844-831-5514

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

Provider Enumeration Date	:	07/24/2006
Last Update Date	:	08/02/2022

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