Individual
RUBAYAT NAILA RAHMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD MPH
Contact information
Practice address
40124 US HWY 27, STE 204, DAVENPORT, FL 33837-5905
(863) 419-2156
(863) 419-2157
Mailing address
40124 US HWY 27, STE 204, DAVENPORT, FL 33837-5905
(863) 419-2156
(863) 419-2157
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
23419
WV
207R00000X
Internal Medicine Physician
ME129182
FL
207RG0100X
Gastroenterology Physician
2012023617
MO
207RG0100X
Gastroenterology Physician
Primary
ME129182
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3810015709
MT STATE BCBS
—
Enumeration date
05/23/2007
Last updated
09/24/2019
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