Organization
AZIZ RAHMAN MD FACP PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. AZIZ U RAHMAN MD, FACP (OWNER/SOLE PROPRIETOR)
(618) 532-0998
Entity
Organization
Contact information
Practice address
1050 MARTIN LUTHER KING DR, STE 109, CENTRALIA, IL 62801
(618) 532-0998
(618) 532-0304
Mailing address
P.O. BOX 1887, CENTRALIA, IL 62801
(618) 532-0998
(618) 532-0304
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
036064167
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036064167
—
IL
Enumeration date
01/07/2011
Last updated
01/07/2011
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