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Individual

AESHA RAHMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
805 HALL ST, WIGGINS, MS 39577-2110
(601) 928-4412
(601) 928-4792
Mailing address
805 HALL ST, WIGGINS, MS 39577-2110
(601) 928-4412
(601) 928-4792

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
20825
MS
390200000X
Student in an Organized Health Care Education/Training Program

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
08759390
MS
01
4926671
CIGNA
MS
01
6039421
HEALTHSPRING
MS
01
9609545
AETNA
MS
Enumeration date
10/02/2008
Last updated
09/02/2010
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