Organization
MED MANAGEMENT INDIANA PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RIAZ RAHMAN MD (DIRECTOR & SHAREHOLDER)
(321) 443-9924
Entity
Organization
Contact information
Practice address
5300 MARYMOUNT VILLAGE DR, GARFIELD HEIGHTS, OH 44125-2974
(888) 365-6271
Mailing address
7272 WURZBACH RD STE 601, SAN ANTONIO, TX 78240-4803
(210) 615-3483
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01076161A
LICENSE
IN
Enumeration date
08/27/2018
Last updated
10/10/2024
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