Panama Medical Rehabilitation, PLLC

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

Legal business name

PANAMA MEDICAL REHABILITATION, PLLC

Practice address

1355 Independence Dr
Augusta, GA 30901-1037

Phone

(706) 869-2520

Fax

(706) 303-8992

NPI assigned

Sep 23, 2017

Last updated

Feb 21, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mohammad Anisur Rahman, MD

Title

President

Phone

(347) 574-5585

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1506124800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1613865600000",
    "number": "1164931044",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3311",
            "city": "EVANS",
            "state": "GA",
            "postal_code": "308090089",
            "telephone_number": "347-574-5585",
            "fax_number": "063-038-9927"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1355 INDEPENDENCE DR",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309011037",
            "telephone_number": "706-869-2520",
            "fax_number": "706-303-8992"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PANAMA MEDICAL REHABILITATION, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-09-23",
        "last_updated": "2021-02-21",
        "certification_date": "2021-02-21",
        "status": "A",
        "authorized_official_last_name": "RAHMAN",
        "authorized_official_first_name": "MOHAMMAD",
        "authorized_official_middle_name": "ANISUR",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "347-574-5585",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "FL",
            "license": "132633",
            "primary": false
        },
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christopher Pallas, MD
• Allie Howard Palmer
• Clinton James Palmer, M.D.
• Landon David Withers Palmer, FNP
• Sharon Rosalia Palmer, M.D.
• Sambit Panda, MD
• Ashutosh Pandey, MD
• Mamta Pandya, ACNP
• Darshanjit Singh Pannu, DDS
• Rubani Pannu

• Physical Medicine & Rehabilitation Physician in Augusta, GA
• Providers in Augusta, GA by specialty
• Physical Medicine & Rehabilitation Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2021; 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.