Individual
DR. FAZLUR RAHMAN
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3555 KNICKERBOCKER RD, SAN ANGELO, TX 76904-7610
(325) 224-5277
Mailing address
3555 KNICKERBOCKER RD, SAN ANGELO, TX 76904-7610
(325) 949-9555
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
E3407
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
821785
BLUE CROSS/BLUE SHIELD TX
TX
Enumeration date
05/01/2006
Last updated
07/08/2007
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