Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 213E00000X | Podiatrist | ||
Y | 222Z00000X | Podiatrist | ||
N | 224P00000X | Prosthetist |
NPI | 1184043697 |
---|---|
Provider Name | Zia Rahman |
First Address | Farmington Hills, MI 48336-3642 |
Second Address | Farmington Hills, MI 48336-3642 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 11/04/2014 |
Last Update Date | 11/04/2014 |