Individual
MOZIBUR RAHMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1214 COOLIDGE BLVD FL 3, LAFAYETTE, LA 70503-2621
(337) 289-7679
Mailing address
316 REDFERN ST, LAFAYETTE, LA 70508-4487
(914) 306-0170
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
318988-01
NY
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
346366
LA
Other
Enumeration date
08/06/2019
Last updated
10/24/2025
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