Individual
PERVAIZ RAHMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1 MEDICAL PKWY STE 103, DALLAS, TX 75234-7830
(972) 681-9800
(972) 681-9804
Mailing address
8078 ACOMA LN, DALLAS, TX 75252-8031
(972) 681-9800
(972) 681-9804
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
F7892
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0348666
—
TX
Enumeration date
08/02/2006
Last updated
01/23/2019
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