Organization · NPI-2

Ahmadur Rahman MD PC

Internal Medicine · Jamaica, NY

NPI number1699199307
StatusActive
Last updated in NPPESFeb 17, 2014

Details

NPI
1699199307
Entity type
Organization (NPI-2)
Legal business name
Ahmadur Rahman MD PC
Organization subpart
No
Enumeration date
Feb 17, 2014
Last updated
Feb 17, 2014

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207R00000X Internal Medicine249342NYYes

Practice location

17943a Hillside Ave
Jamaica, NY 11432-4631

Phone 718-262-8830

Mailing address

17943a Hillside Ave
Jamaica, NY 11432-4631

Phone 718-262-8830

Authorized official

Ahmadur Rahman
Owner
7182628830

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