Individual
SHIRAAZ IKRAM RAHMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
519 STATE ST, NEW ALBANY, IN 47150-3620
(812) 948-0616
(812) 949-3447
Mailing address
519 STATE STREET, NEW ALBANY, IN 47150-3620
(812) 948-0616
(812) 949-3447
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
01078672A
IN
207W00000X
Ophthalmology Physician
50378
KY
207WX0009X
Glaucoma Specialist (Ophthalmology) Physician
01078672A
IN
207WX0009X
Glaucoma Specialist (Ophthalmology) Physician
50378
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
300004918
—
IN
05
—
7100483890
—
KY
Enumeration date
03/27/2012
Last updated
09/29/2020
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