Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208100000X | Physical Medicine & Rehabilitation Doctor | 25MB10358300 | NJ |
N | 208100000X | Physical Medicine & Rehabilitation Doctor | 5101022077 | MI |
N | 208D00000X | General Practice Physician | 5101022077 | MI |
NPI | 1043620040 |
---|---|
Provider Name | Dr. Abir Rahman |
First Address | Paterson, NJ 07503-2621 |
Second Address | Wayne, NJ 07470 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 30/04/2014 |
Last Update Date | 31/08/2018 |