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Individual

DR. MOHAMMAD MOHABUBUR RAHMAN

Active
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Individual

DR. MOHAMMAD MOHABUBUR RAHMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
044065
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
000764882C
GA
01
775980
BLUE CROSS BLUE SHIELD
GA
Enumeration date
09/07/2006
Last updated
07/08/2010
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