Individual provider Active NPI

Sajitha Parveen Maniyam Fallur Rahman, M.D

  • Family Medicine Physician
  • Rochester Hills, MI
National Provider Identifier
1013117142
Registry record updated Jul 27, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
4301088034 Issued in MI
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

Updated by the provider on Jul 27, 2009

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
4301088034MIMDFamily 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.

Verify at the official NPI Registry.