Individual
HASEEB ABDUL RAHMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3417 GASTON AVE STE 935, DALLAS, TX 75246-2036
(214) 820-4561
(214) 820-4562
Mailing address
PO BOX 844658, DALLAS, TX 75284-4658
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
081847
GA
2084V0102X
Vascular Neurology Physician
Primary
S8239
TX
390200000X
Student in an Organized Health Care Education/Training Program
BP10046775
TX
Other
Enumeration date
06/10/2013
Last updated
09/20/2021
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