NPIMap

Organization Active NPI

Southern Surgical Associates, LLC

Doing business as dba AHMED A RAHMAN

  • Vascular Surgery Physician
  • Virginia Beach, VA
National Provider Identifier
1205027265
Registry record updated Dec 14, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular Surgery PhysicianTaxonomy code 2086S0129X
Legal business name
SOUTHERN SURGICAL ASSOCIATES, LLC
Doing business as
dba AHMED A RAHMAN
Practice address
1020 Independence Blvd
Suite 308
Virginia Beach, VA 23455-5500
Phone
(757) 464-2104
Fax
(757) 464-2288
NPI assigned
Aug 6, 2007
Last updated
Dec 14, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 14, 2012

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

Authorized official

Name
Ahmed A Rahman, MDNPI 1962411660
Title
Partner
Phone
(757) 464-2104

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Vascular Surgery Physician 2086S0129X NU Primary

Addresses

Primary practice location

1020 Independence Blvd
Suite 308
Virginia Beach, VA 23455-5500

Mailing address

1020 Independence Blvd
Suite 308
Virginia Beach, VA 23455-5500
Phone (757) 464-2104

Other names 1

  • dba AHMED A RAHMAN Doing business as

National Provider Directory

National Provider Directory

Locations

1417 Battlefield Blvd N
Ste 180
Chesapeake, VA 23320
Phone (757) 422-2212

1016 First Colonial Rd
Ste 200
Virginia Beach, VA 23454
Phone (757) 491-6467

1020 First Colonial Rd
Virginia Beach, VA 23454
Phone (757) 481-2313

1020 Independence Blvd
Virginia Beach, VA 23455
Phone (757) 460-2171

1020 Independence Blvd
#308
Virginia Beach, VA 23455
Phone (757) 464-2104

Practitioners & affiliated clinicians

Practitioners 6

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": "1186358400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1355443200000",
    "number": "1205027265",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1020 INDEPENDENCE BLVD",
            "address_2": "SUITE 308",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234555500",
            "telephone_number": "757-464-2104",
            "fax_number": "757-464-2288"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1020 INDEPENDENCE BLVD",
            "address_2": "SUITE 308",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234555500",
            "telephone_number": "757-464-2104",
            "fax_number": "757-464-2288"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHERN SURGICAL ASSOCIATES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-06",
        "last_updated": "2012-12-14",
        "status": "A",
        "authorized_official_last_name": "RAHMAN",
        "authorized_official_first_name": "AHMED",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "757-464-2104",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "dba AHMED A RAHMAN",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Virginia Beach, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2012; 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.