Individual
DR. MOHAMMAD ANISUR RAHMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
16817 MARVIN ROAD, CHARLOTTE, NC 28277
(704) 495-6036
Mailing address
5960 FAIRVIEW RD STE 500, CHARLOTTE, NC 28210-3113
(704) 495-6334
(704) 817-7219
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
2012-02367
NC
207R00000X
Internal Medicine Physician
41522
MN
207R00000X
Internal Medicine Physician
92373
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
024227600
—
MN
05
—
1861465288
—
NC
05
—
NC1812
—
SC
Enumeration date
02/08/2006
Last updated
06/13/2024
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