Individual
REZAUR RAHMAN REZA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
302 UNIVERSITY PKWY, AIKEN, SC 29801-6302
(803) 641-5275
Mailing address
157-15 19TH AVE, ,, QUEENS, NY 11357
(718) 746-0400
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
P122130
NY
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
06/26/2023
Last updated
04/01/2024
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