Organization
MUJIB RAHMAN MD MEDICAL CLINIC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MUHAMMAD MUJIBUR RAHMAN MD (MD/OWNER)
(330) 766-0138
Entity
Organization
Contact information
Practice address
2512 E MARKET ST UNIT B, WARREN, OH 44483-6266
(330) 766-0138
Mailing address
1606 AVALON CREEK BLVD, VIENNA, OH 44473-9558
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
35094687
OH
2084N0600X
Clinical Neurophysiology Physician
35094687
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
001721763
BCBS SERVICE PROVIDER
WV
01
—
1487748406
NPI
—
05
—
3004665000
—
WV
05
—
H298420
—
OH
Enumeration date
07/31/2015
Last updated
03/07/2023
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