Active NPI
Sajitha Parveen Maniyam Fallur Rahman, M.D
- Family Medicine Physician
- Rochester Hills, MI
National Provider Identifier
1013117142
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 4301088034
- Practice address
- 215 E Auburn Rd
Rochester Hills, MI 48307-5260 - Phone
- (248) 853-2009
- Fax
- (248) 853-4105
- NPI assigned
- Jul 18, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 4301088034 | MI | Primary |
Addresses
Primary practice location
215 E Auburn Rd
Rochester Hills, MI 48307-5260
Mailing address
215 E Auburn Rd
Rochester Hills, MI 48307-5260
Phone (248) 853-2009
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4301088034 | MI | MD | Family Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1184716800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1248652800000",
"number": "1013117142",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "215 E AUBURN RD",
"city": "ROCHESTER HILLS",
"state": "MI",
"postal_code": "483075260",
"telephone_number": "248-853-2009",
"fax_number": "248-853-4105"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "215 E AUBURN RD",
"city": "ROCHESTER HILLS",
"state": "MI",
"postal_code": "483075260",
"telephone_number": "248-853-2009",
"fax_number": "248-853-4105"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MANIYAM FALLUR RAHMAN",
"first_name": "SAJITHA",
"middle_name": "PARVEEN",
"name_prefix": "Dr.",
"credential": "M.D",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-07-18",
"last_updated": "2009-07-27",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "MI",
"license": "4301088034",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Rochester Hills, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.