Individual
EBAD UR RAHMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2900 1ST AVE RM 1025, HUNTINGTON, WV 25702-1241
(304) 399-7484
(304) 399-7579
Mailing address
39 EMERSON RD, GLEN HEAD, NY 11545-3117
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
29078
WV
207R00000X
Internal Medicine Physician
Primary
63883
TN
Other
Enumeration date
07/11/2016
Last updated
09/16/2021
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