Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207KA0200X | Allergist | 34881 | MO |
NPI | 1497742555 |
---|---|
Provider Name | Dr. Mohammad H Rahman |
First Address | Clovis, CA 93619 |
Second Address | Clovis, CA 93619 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 04/10/2005 |
Last Update Date | 30/01/2019 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0004000868 | AETNA (01) | MO |
0006000455 | BLUECROSSBLUESHIELD (01) | IL |
0689941002 | CIGNA (01) | MO |
26775 | BLUECROSS BLUE SHIELD (01) | MO |
34512 | GROUP HEALTH PLAN (01) | MO |
437407473D | MEDICARE HIC (01) | MO |
A09886 | (02) | |
A09886 | (02) | MO |
P0200039 | UNITEDHEALTHCARE (01) | MO |