Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207R00000X | Internist | 168774 | NY |
Y | 111NI0900X | Internist | 168774 | NY |
N | 207RE0101X | Endocrinologist (Diabetes Doctor) | 168774 | NY |
NPI | 1033245238 |
---|---|
Provider Name | Dr. Maqsoodur Rahman |
First Address | Brooklyn, NY 11203-1821 |
Second Address | Brooklyn, NY 11203-1821 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 24/02/2007 |
Last Update Date | 30/03/2015 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
00991786 | (05) | NY |
A64705 | (02) | NY |