Individual
DR. WASSAM M RAHMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
501 6TH AVE S, DEPT 6941, ST PETERSBURG, FL 33701-4634
(727) 767-8480
(727) 767-8420
Mailing address
601 5TH ST S, DEPT 6941, ST PETERSBURG, FL 33701
(727) 767-8480
(727) 767-8420
Taxonomy
Speciality
Code
Description
License number
State
2080P0204X
Pediatric Emergency Medicine (Pediatrics) Physician
Primary
ME73031
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
252262400
—
FL
Enumeration date
07/11/2006
Last updated
02/22/2010
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