Active NPI
Fahim Rahmat Ullah
- Internal Medicine Physician
- Stamford, NY
National Provider Identifier
1093687402
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 60-P138174-01
- Practice address
- 28652 State Highway 23
Stamford, NY 12167-1712 - Phone
- (516) 862-1202
- NPI assigned
- Sep 23, 2025
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 60-P138174-01 | NY | Primary |
Addresses
Primary practice location
28652 State Highway 23
Stamford, NY 12167-1712
Mailing address
610 Winters LN
Catonsville, MD 21228-2833
Phone (443) 600-3102
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 60-P138174-01 | NY | MD | Internal Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1758585600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1758585600000",
"number": "1093687402",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "610 WINTERS LN",
"city": "CATONSVILLE",
"state": "MD",
"postal_code": "212282833",
"telephone_number": "443-600-3102"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "28652 STATE HIGHWAY 23",
"city": "STAMFORD",
"state": "NY",
"postal_code": "121671712",
"telephone_number": "516-862-1202"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ULLAH",
"first_name": "FAHIM",
"middle_name": "RAHMAT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2025-09-23",
"last_updated": "2025-09-23",
"certification_date": "2025-09-23",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NY",
"license": "60-P138174-01",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Stamford, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.