Individual
DR. AWAN KHONDOKER RAHMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
1514 VERNON RD, LAGRANGE, GA 30240-4131
(706) 882-1411
(770) 999-2819
Mailing address
1514 VERNON RD, LAGRANGE, GA 30240-4131
(706) 882-1411
(770) 999-2819
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
OT017698
PA
207RP1001X
Pulmonary Disease Physician
Primary
95368
GA
Other
Enumeration date
04/30/2017
Last updated
06/04/2024
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