Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207VX0000X | Obstetrician | Q7951 | TX |
NPI | 1184985202 |
---|---|
Provider Name | Mahnaz Sameeha Rahman |
First Address | Denton, TX 76201-2302 |
Second Address | Denton, TX 76201-2302 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 05/06/2012 |
Last Update Date | 25/11/2019 |