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Individual

DR. SHAHZAD RAHMAN

Active
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Individual

DR. SHAHZAD RAHMAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

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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