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Individual

MAHMOOD RAHMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
76 FORDWAY DR., STE 2, VANDALIA, OH 45377
(937) 890-3139
(937) 890-3111
Mailing address
76 FORDWAY DR., STE 2, VANDALIA, OH 45377
(937) 890-3139
(937) 890-3111

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
35066692R
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0976949
OH
Enumeration date
01/04/2006
Last updated
12/11/2007
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