Individual
HASAN M. HAFIZUR RAHMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4151 MEMORIAL DR, ASSERTIVE COMMUNITY RECOVERY, DECATUR, GA 30032-1504
(404) 508-0078
Mailing address
1070 PEARL MIST DR SW, LILBURN, GA 30047-5495
(315) 528-6608
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
65049
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
65049
—
GA
Enumeration date
06/05/2007
Last updated
09/30/2015
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