Individual
MIKAL HAMID RAHMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1230 7TH AVE, LONGVIEW, WA 98632-3166
(360) 636-2400
Mailing address
1230 7TH AVE, LONGVIEW, WA 98632-3166
(360) 636-2400
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
60126108
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100510931
—
NV
05
—
XPY205218
—
CA
Enumeration date
12/28/2006
Last updated
04/15/2013
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