Individual
ZAIN RAHMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2408 BURNING TREE CT, JEFFERSONVILLE, IN 47130-6742
(812) 989-8388
Mailing address
PO BOX 776351, CHICAGO, IL 60677-6351
(502) 559-9337
(502) 272-5339
Taxonomy
Speciality
Code
Description
License number
State
207QS0010X
Sports Medicine (Family Medicine) Physician
Primary
01081644A
IN
207R00000X
Internal Medicine Physician
01081644A
IN
207RS0010X
Sports Medicine (Internal Medicine) Physician
01081644A
IN
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
300075431
—
IN
05
—
7100904810
—
KY
01
—
IN2570121
MEDICARE
IN
Enumeration date
06/15/2017
Last updated
04/04/2024
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