Individual
ATAUR RAHMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D
Contact information
Practice address
905 BEVILLE RD, SOUTH DAYTONA, FL 32119-1705
(386) 767-9000
(386) 767-9000
Mailing address
905 BEVILLE RD, SOUTH DAYTONA, FL 32119-1705
(386) 767-9000
(386) 767-3761
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
ME95010
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01876388
—
NY
Enumeration date
08/01/2006
Last updated
08/26/2008
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