Individual
DR. OMAR RAHMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1801 N. CAPITOL AVE., NP E-140, INDIANAPOLIS, IN 46202-1218
(317) 962-5820
(317) 962-3916
Mailing address
250 N SHADELAND AVE, STE 130 PROVIDER ENROLLMENT, INDIANAPOLIS, IN 46219-4959
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
01070543A
IN
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
MD427093
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
101401132
—
PA
05
—
201052390
—
IN
Enumeration date
04/20/2006
Last updated
03/04/2025
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