Dr. Mohammad Mahmudur Rahman
Geriatric Medicine
17012 Highland Ave Unit 101
Jamaica
, New York 11432-2782
Dr. Mohammad Mahmudur Rahman
Geriatric Medicine
17012 Highland Ave Unit 101
Jamaica
, New York 11432-2782
(718) 383-8047
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About
Features
Specialties
- Geriatric Medicine
Languages spoken
- English
Location
First Address
- Dr. Mohammad Mahmudur Rahman
- 18310 Dalny Rd Jamaica Estates
- Jamaica, NY
- Zip : 11432-2465
- Fax : (718) 383-8047
- Phone : (718) 864-8882
Second Address
- Dr. Mohammad Mahmudur Rahman
- 17012 Highland Ave Unit 101
- Jamaica, NY
- Zip : 11432-2782
- Phone : (718) 864-8882
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Is Dr. Mohammad Mahmudur Rahman a sole practitioner?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207RG0300X | Geriatric Medicine | 211211 | NY |
National Provider Identifier
| NPI | 1063504033 |
|---|---|
| Provider Name | Dr. Mohammad Mahmudur Rahman |
| First Address | Jamaica, NY 11432-2465 |
| Second Address | Jamaica, NY 11432-2782 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 28/09/2006 |
| Last Update Date | 11/03/2015 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 01902643 | (05) | NY |
| BR6043703 | DEA (01) | NY |
| G83394 | (02) | NY |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.