Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | 4301107926 | MI |
N | 111NI0900X | Internist | 4301107926 | MI |
Y | 207RH0003X | Hematology & Oncology | ME135338 | FL |
NPI | 1003299330 |
---|---|
Provider Name | Zaid Abdel Rahman |
First Address | Jacksonville, FL 32224-1865 |
Second Address | Jacksonville, FL 32224 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 06/07/2015 |
Last Update Date | 21/10/2021 |