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Individual

DR. TAHIRAH ABDUR RAHMAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
DO

Contact information

Practice address
4131 N 24TH ST STE B102, PHOENIX, AZ 85016-6231
(480) 882-4545
(602) 381-1341
Mailing address
7500 N DREAMY DRAW DR STE 145, PHOENIX, AZ 85020-4668
(480) 882-4545
(480) 882-5814

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
008588
AZ
207R00000X
Internal Medicine Physician
34.011577
OH
207R00000X
Internal Medicine Physician
OS017153
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
081469
AZ
Enumeration date
04/12/2011
Last updated
12/30/2022
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