Individual
REZA RAHMANI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
19727 ALLEN RD, BROWNSTOWN TWP, MI 48183-1188
(734) 479-4747
Mailing address
19727 ALLEN RD, BROWNSTOWN TWP, MI 48183-1188
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
RR011221
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
113487287
—
MI
01
—
1858205074
BCBS
MI
Enumeration date
02/10/2006
Last updated
05/22/2012
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