Individual
DR. MOHAMMAD REZA RAHNAMA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
D0045475
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
110118499
MEDICARE RAILROAD
MD
05
—
371241900
—
MD
01
—
53440804
BLUE SHEILD OF MD
MD
01
—
552987
AETNA PLANS
MD
01
—
E268-0002
FEDERAL BLUE SHIELD
MD
Enumeration date
01/04/2007
Last updated
02/23/2022
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