Individual
SARA RAHMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
7205 265TH ST NW, STANWOOD, WA 98292-6221
(360) 629-1513
Mailing address
PO BOX 5127, EVERETT, WA 98206-5127
(425) 259-0966
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD60426279
WA
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
24355
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
009950785
—
AL
05
—
009950795
—
AL
05
—
009951925
—
AL
01
—
051521678
BLUE CROSS
AL
01
—
051521679
BLUE CROSS
AL
01
—
051521680
BLUE CROSS
AL
05
—
2033707
—
WA
01
—
P00104029
RAILROAD MEDICARE
AL
Enumeration date
07/08/2006
Last updated
11/21/2014
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