Individual
DR. RIAZ RAHMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
11104 W AIRPORT BLVD STE 138, STAFFORD, TX 77477-3074
(713) 984-4546
Mailing address
646 HILLS BLVD, PORT ORANGE, FL 32127-2902
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
ME72252
FL
2084P0800X
Psychiatry Physician
ME72252
FL
2084P0805X
Geriatric Psychiatry Physician
Primary
K5186
TX
2084P0805X
Geriatric Psychiatry Physician
ME72252
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
252738300
—
FL
01
—
42316
BS OF FLORIDA
FL
01
—
K3055
PTAN
FL
01
—
ME72252
STATE LICENSE
FL
Enumeration date
09/19/2006
Last updated
05/11/2026
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