Individual
RAHMAN SHAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2202 STATE AVE STE 207, PANAMA CITY, FL 32405-4582
(850) 872-3939
(850) 872-3938
Mailing address
2202 STATE AVE STE 207, PANAMA CITY, FL 32405-4582
(850) 872-3939
(850) 872-3938
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
ME140805
FL
207RC0000X
Cardiovascular Disease Physician
42984
TN
207RC0000X
Cardiovascular Disease Physician
ME140805
FL
207RI0011X
Interventional Cardiology Physician
Primary
ME140805
FL
208M00000X
Hospitalist Physician
230336
MA
390200000X
Student in an Organized Health Care Education/Training Program
0116023378
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
043649
CONN PHYSICIAN LICENSE #
CT
Enumeration date
05/05/2006
Last updated
01/26/2022
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