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Individual

DR. TAJ RAHMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
2005 TECHNOLOGY PKWY STE 300, MECHANICSBURG, PA 17050-9423
(717) 988-5864
Mailing address
111 S FRONT ST, HARRISBURG, PA 17101-2010

Taxonomy

Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
50132
KY
207RP1001X
Pulmonary Disease Physician
Primary
MD470912
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
7100362350
KY
Enumeration date
04/02/2014
Last updated
05/18/2022
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