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Individual

FARAAZ A. RAHMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
401 E CHESTNUT ST UNIT 310, LOUISVILLE, KY 40202-5703
(502) 588-4600
Mailing address
PO BOX 909, LOUISVILLE, KY 40201-0909
(502) 588-4600

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
0101264786
VA
207R00000X
Internal Medicine Physician
57.019702
OH
207RC0000X
Cardiovascular Disease Physician
62500-20
WI
207RI0011X
Interventional Cardiology Physician
Primary
50377
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
300003797
IN
05
7100615390
KY
Enumeration date
05/03/2011
Last updated
06/27/2022
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