Individual
SHAHNAZ RAHMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
820 HARRISON AVE, BOSTON, MA 02118-2905
(404) 259-4008
Mailing address
820 HARRISON AVE, BOSTON, MA 02118-2905
(404) 259-4008
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
36069
SC
2085R0202X
Diagnostic Radiology Physician
Primary
260128
MA
Other
Enumeration date
12/03/2009
Last updated
02/17/2016
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