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Individual

MAHBOOB RAHMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
11100 EUCLID AVE, CLEVELAND, OH 44106-1716
(216) 844-8500
Mailing address
24701 EUCLID AVE, 3RD FLOOR, EUCLID, OH 44117-1714

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
35-065430
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000224448
UNISON
OH
01
000000539597
ANTHEM
OH
01
0810314
AETNA
OH
05
2021387
OH
01
260035015
RAILROAD MEDICARE
OH
01
363934
WELLCARE
OH
01
743241
BUCKEYE
OH
Enumeration date
07/19/2006
Last updated
12/28/2020
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