Sundus Rahman, PA-C

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

PA9112836 Issued in FL

Practice address

102 Park Place Blvd Ste 3
Kissimmee, FL 34741-2358

Phone

(407) 944-4900

NPI assigned

Jan 8, 2020

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1578441600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1578441600000",
    "number": "1144860032",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11603 PINE ST",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328366219",
            "telephone_number": "407-451-5743"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "102 PARK PLACE BLVD STE 3",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347412358",
            "telephone_number": "407-944-4900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAHMAN",
        "first_name": "SUNDUS",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-01-08",
        "last_updated": "2020-01-08",
        "certification_date": "2020-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "FL",
            "license": "PA9112836",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Deenah Ragnauth, ARNP
• Lana Smithhart Ragone, ARNP, FNP-C
• Zubair Rahaman, MD
• Jaheda Rahman
• Mohammed Rahman, MD
• Mehr Taj Rahmatullah, M.D.
• Nasir Iqbal Rahmatullah, M.D.
• Evelyn Rahn
• Ann Marie Raikes Hartley, ARNP
• Jordan Raikes

• Medical Physician Assistant in Kissimmee, FL
• Providers in Kissimmee, FL by specialty
• Medical Physician Assistant in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2020; 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.