Individual provider · NPI-1

Faiz Abdur-Rahman, MD

Student in an Organized Health Care Education/Training Program · Loma Linda, CA

NPI number1144073768

StatusActive

Last updated in NPPESApr 11, 2024

Details

NPI: 1144073768
Entity type: Individual (NPI-1)
Name: Faiz Abdur-Rahman
Credential: MD
Sex: Male
Sole proprietor: Yes
Enumeration date: Apr 11, 2024
Certification date: Apr 11, 2024
Last updated: Apr 11, 2024

Taxonomy and licenses

Taxonomy code	Description	License	State	Primary
390200000X	Student in an Organized Health Care Education/Training Program	–	–	Yes

Practice location

11234 Anderson St
Loma Linda, CA 92354-2804

Phone 909-558-9532

Mailing address

11234 Anderson Street
Gme Office Westerly Suite C
Loma Linda, CA 92354-2804

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