Individual
DR. SHAHZAD RAHMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
THE RENASCENCE CENTER, 46 S GLEBE ROAD, SUITE 103, ARLINGTON, VA 22204
(703) 521-6004
(703) 521-6342
Mailing address
8340 GREENSBORO DR UNIT 120, MC LEAN, VA 22102-3535
(703) 200-1721
(703) 521-6342
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
0101051872
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010257697
—
VA
01
—
64888803
TAX ID #52-2349362 BCBS
MD
01
—
S288-0005
FOR TAX ID #52-2349362
DC
Enumeration date
04/06/2006
Last updated
10/02/2020
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