Individual
DR. DAOUD TAYYAB RAHMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
60 MEMORIAL MEDICAL PKWY, PALM COAST, FL 32164-5980
(386) 586-2000
Mailing address
60 MEMORIAL MEDICAL PKWY, PALM COAST, FL 32164-5980
(386) 586-2000
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
01070197A
IN
2085R0202X
Diagnostic Radiology Physician
57001
KY
2085R0202X
Diagnostic Radiology Physician
Primary
ME124559
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
017260000
—
FL
01
—
9TCQ1
BLUE CROSS BLUE SHIELD
FL
Enumeration date
06/10/2008
Last updated
08/16/2023
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