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Individual

DR. MOHAMMAD H RAHMAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
12365 N VIA TUSCANIA, CLOVIS, CA 93619
(314) 878-7988
(314) 878-7988
Mailing address
12365 N VIA TUSCANIA, CLOVIS, CA 93619
(314) 878-7988
(314) 878-7988

Taxonomy

Speciality
Code
Description
License number
State
207KA0200X
Allergy Physician
Primary
34881
MO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0004000868
AETNA
MO
01
0006000455
BLUECROSSBLUESHIELD
IL
01
0689941002
CIGNA
MO
01
26775
BLUECROSS BLUE SHIELD
MO
01
34512
GROUP HEALTH PLAN
MO
01
437407473D
MEDICARE HIC
MO
01
P0200039
UNITEDHEALTHCARE
MO
Enumeration date
10/04/2005
Last updated
01/30/2019
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