Active NPI
Malika Rahaman, M.D.
- Family Medicine Physician
- Dania Beach, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- ME131154
- Practice address
- 1815 Griffin Rd Ste 410
Dania Beach, FL 33004 - Phone
- (954) 624-7900
- NPI assigned
- Apr 23, 2014
- Last updated
- Aug 23, 2018
- 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 | ME131154 | FL | Primary |
Addresses
Primary practice location
1815 Griffin Rd Ste 410
Dania Beach, FL 33004
Mailing address
15794 NW 24TH St
Pembroke Pines, FL 33028-2406
Phone (561) 601-6071
Other practice location 1
1900 10th Ave
Suite # 100
Columbus, GA 31901-3600
Phone (706) 571-1430
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME131154 | FL | MD | Family Medicine Physician |
| 007147 | GA | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Catholic Palliative Care Services, Inc. | Current | Accepting new patients | |
| Seasons Hospice & Palliative Care of Broward Florida LLC | Family Medicine | Past | Accepting new patients |
Locations
3487 NW 30th St
Lauderdale Lakes, FL 33311
Phone (954) 641-4200
14875 NW 77th Ave
Ste 100
Miami Lakes, FL 33014
Phone (305) 351-7057
14875 NW 77th Ave
Ste 201
Miami Lakes, FL 33014
Phone (305) 351-7086
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Hospice and Palliative Medicine (Family Medicine) Physician
- Miami Lakes, FL
- NPI 1861822363
-
dba AccentCare Hospice & Palliative Care of Broward County
- Community Based Hospice Care Agency
- Plantation, FL
- NPI 1467851840
Family Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1398211200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1534982400000",
"number": "1144640624",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15794 NW 24TH ST",
"city": "PEMBROKE PINES",
"state": "FL",
"postal_code": "330282406",
"telephone_number": "561-601-6071"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1815 GRIFFIN RD STE 410",
"city": "DANIA BEACH",
"state": "FL",
"postal_code": "33004",
"telephone_number": "954-624-7900"
}
],
"practiceLocations": [
{
"address_1": "1900 10th Ave",
"address_2": "Suite # 100",
"address_purpose": "LOCATION",
"city": "Columbus",
"state": "GA",
"postal_code": "319013600",
"country_code": "US",
"telephone_number": "706-571-1430",
"fax_number": "706-571-1604",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "RAHAMAN",
"first_name": "MALIKA",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-04-23",
"last_updated": "2018-08-23",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "FL",
"license": "ME131154",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Dania Beach, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.