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Individual

DR. MUHAMMAD MUJIBUR RAHMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
765 LIBERTY ST, SUITE 303, MEADVILLE, PA 16335-2566
(814) 333-3929
(814) 373-3539
Mailing address
1034 GROVE ST, MEADVILLE, PA 16335-2945
(814) 333-3929
(814) 373-3539

Taxonomy

Speciality
Code
Description
License number
State
2084N0008X
Neuromuscular Medicine (Psychiatry & Neurology) Physician
35094687
OH
2084N0400X
Neurology Physician
Primary
35094687
OH
2084N0600X
Clinical Neurophysiology Physician
35094687
OH
2084V0102X
Vascular Neurology Physician
35094687
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
001721763
BCBS SERVICE PROVIDER #
WV
01
1487748406
NPI
05
3004665000
WV
05
H298420
OH
01
P00073368
RAILROAD MEDICARE
WV
01
WV21335
HEALTH PLAN PROVIDER NBR
WV
Enumeration date
10/03/2006
Last updated
03/07/2023
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