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Individual

DR. RAFIQ U RAHMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1107 WOODLAND DR, SUITE 105, ELIZABETHTOWN, KY 42701-2789
(270) 769-6665
(270) 769-0322
Mailing address
1107 WOODLAND DR, SUITE 105, ELIZABETHTOWN, KY 42701-2789
(270) 769-6665
(270) 769-0322

Taxonomy

Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
27724
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1048930
PASSPORT
KY
05
64277247
KY
Enumeration date
11/18/2005
Last updated
02/08/2017
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