Individual
DR. RYAN S RAHMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1335 PHAY AVE STE A, CANON CITY, CO 81212-2349
(719) 285-8890
(719) 208-7373
Mailing address
712 MACON AVE, CANON CITY, CO 81212-3314
(719) 285-8890
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
0066781
CO
207Q00000X
Family Medicine Physician
53997
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
08855093
—
MS
05
—
1053673509
—
MO
05
—
230369001
—
AR
05
—
Q038592
—
TN
Enumeration date
06/11/2012
Last updated
05/05/2025
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