Individual
MR. AZIZ U RAHMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1050 M L KING DR, SUITE 109, CENTRALIA, IL 62801-3060
(618) 532-0998
(618) 532-0304
Mailing address
PO BOX 955860, SAINT LOUIS, MO 63195-9126
(636) 498-5944
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
036064167
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036064167
—
IL
Enumeration date
08/02/2006
Last updated
10/21/2020
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