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Individual

MOHAMMED S RAHMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
260 PATCHOGUE YAPHANK RD, EAST PATCHOGUE, NY 11772-4886
(631) 654-8755
(631) 654-8709
Mailing address
7515 GLENMORE AVE, OZONE PARK, NY 11417-1025
(718) 845-0081
(718) 845-0081

Taxonomy

Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
233199
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
01891670
NY
01
W38231
MEDICARE GROUP NUMBER
Enumeration date
05/30/2007
Last updated
04/28/2008
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