Individual
DR. MOHAMMAD MAHMUDUR RAHMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
17012 HIGHLAND AVE, UNIT 101, JAMAICA, NY 11432-2782
(718) 864-8882
Mailing address
18310 DALNY RD, JAMAICA ESTATES, JAMAICA, NY 11432-2465
(718) 864-8882
(718) 383-8047
Taxonomy
Speciality
Code
Description
License number
State
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
211211
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01902643
—
NY
Enumeration date
09/28/2006
Last updated
03/07/2023
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