Individual
DR. FAREEN SHABANA RAHMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1901 W KETTLEMAN LN, SUITE 200, LODI, CA 95242-4337
(203) 334-8540
Mailing address
PO BOX 241011, LODI, CA 95241-9511
(209) 339-7435
(209) 333-3054
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
A119896
CA
208000000X
Pediatrics Physician
A119896
CA
208M00000X
Hospitalist Physician
Primary
A119896
CA
Other
Enumeration date
07/31/2007
Last updated
10/11/2023
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