Organization Active NPI

Mahboobur Rahman MD & Gopa Rahman MD

  • Cardiovascular Disease Physician
  • Poughkeepsie, NY
National Provider Identifier
1033350426
Registry record updated Mar 13, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
188444 Issued in NY
Legal business name
MAHBOOBUR RAHMAN MD & GOPA RAHMAN MD
Practice address
243 North Rd
Suite 201N
Poughkeepsie, NY 12601-1172
Phone
(845) 454-0370
Fax
(845) 454-6017
NPI assigned
Mar 13, 2009
Last updated
Mar 13, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 13, 2009

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

Authorized official

Name
Mahboobur Rahman, MDNPI 1356372551
Title
Physician
Phone
(845) 454-0370

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 190938 NY
Cardiovascular Disease Physician 207RC0000X 188444 NY Primary

Addresses

Primary practice location

243 North Rd
Suite 201N
Poughkeepsie, NY 12601-1172

Mailing address

243 North Rd
Suite 201N
Poughkeepsie, NY 12601-1172
Phone (845) 454-0370

Other identifiers 2

IdentifierTypeStateIssuer
01396625MedicaidNY
01376365MedicaidNY

National Provider Directory

National Provider Directory

Locations

243 North Rd
Ste 201N
Poughkeepsie, NY 12601
Phone (845) 454-0370

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1236902400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1236902400000",
    "number": "1033350426",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "243 NORTH RD",
            "address_2": "SUITE 201N",
            "city": "POUGHKEEPSIE",
            "state": "NY",
            "postal_code": "126011172",
            "telephone_number": "845-454-0370",
            "fax_number": "845-454-6017"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "243 NORTH RD",
            "address_2": "SUITE 201N",
            "city": "POUGHKEEPSIE",
            "state": "NY",
            "postal_code": "126011172",
            "telephone_number": "845-454-0370",
            "fax_number": "845-454-6017"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAHBOOBUR RAHMAN MD & GOPA RAHMAN MD",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-03-13",
        "last_updated": "2009-03-13",
        "status": "A",
        "authorized_official_last_name": "RAHMAN",
        "authorized_official_first_name": "MAHBOOBUR",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "845-454-0370",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "190938",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NY",
            "license": "188444",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01396625",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01376365",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Poughkeepsie, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 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.