Individual
MOHAMED K RAHMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2525 KINGS HWY, BROOKLYN, NY 11229-1705
(917) 916-3790
(516) 437-4167
Mailing address
1981 MARCUS AVE, LAKE SUCCESS, NY 11042-1038
(718) 670-1651
(516) 437-4167
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
218215
NY
207RP1001X
Pulmonary Disease Physician
218215
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02107555
—
NY
01
—
03S691
MEDICARE - EMPIRE
NY
Enumeration date
06/15/2006
Last updated
05/01/2019
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