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Organization
NUSRAT RAHMAN MD PC
Active
Organization
NUSRAT RAHMAN MD PC
Active
Other names
S.M. Rahman MD PC
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. NUSRAT Z RAHMAN M.D. (OWNER)
(313) 590-7705
Entity
Organization
Contact information
Practice address
3781 FORT ST, LINCOLN PARK, MI 48146-4118
(313) 381-7430
(313) 381-7958
Mailing address
3781 FORT ST, LINCOLN PARK, MI 48146-4118
(313) 381-7430
(313) 381-7958
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
NR043492
MI
208600000X
Surgery Physician
SR033102
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0208208989
BCBS
MI
05
—
1092811 TYPE10
—
MI
01
—
110 8222342
BCBS
MI
05
—
2124310 TYPE10
—
MI
Enumeration date
04/08/2008
Last updated
04/08/2015
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