Aziz Rahman MD Facp PC

Primary specialty

Pulmonary Disease PhysicianTaxonomy code 207RP1001X

License

036064167 Issued in IL

Legal business name

AZIZ RAHMAN MD FACP PC

Practice address

1050 Martin Luther King Dr
Ste 109
Centralia, IL 62801

Phone

(618) 532-0998

Fax

(618) 532-0304

NPI assigned

Jan 7, 2011

Organization subpart

No

Name

Dr. Aziz U Rahman, MD, FACP

Title

Owner/Sole Proprietor

Phone

(618) 532-0998

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kamran Amir Khan, M.D.

  • Hospitalist Physician
  • Centralia, IL
  • NPI 1114120177
  NPD (past)

Locations

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jan 7, 2011.

{
    "created_epoch": "1294358400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1294358400000",
    "number": "1508160359",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 1887",
            "city": "CENTRALIA",
            "state": "IL",
            "postal_code": "62801",
            "telephone_number": "618-532-0998",
            "fax_number": "618-532-0304"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1050 MARTIN LUTHER KING DR",
            "address_2": "STE 109",
            "city": "CENTRALIA",
            "state": "IL",
            "postal_code": "62801",
            "telephone_number": "618-532-0998",
            "fax_number": "618-532-0304"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AZIZ RAHMAN MD FACP PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-01-07",
        "last_updated": "2011-01-07",
        "status": "A",
        "authorized_official_last_name": "RAHMAN",
        "authorized_official_first_name": "AZIZ",
        "authorized_official_middle_name": "U",
        "authorized_official_title_or_position": "OWNER/SOLE PROPRIETOR",
        "authorized_official_telephone_number": "618-532-0998",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD, FACP"
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "IL",
            "license": "036064167",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036064167",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tracy Arnold, APNP
• Crystal Ashby, MS
• Shannon Atchison
• Haley Aud
• Audio Hearing Aid Center of Centralia
• B C Stufflebam, MD, LLC
• Backroad Health Care Inc
• Bandys Apothecary Shops Inc
• Wendy Barban-Jourdan, BEHAVIOR THERAPIST
• Kaitlin Barbee

• All providers in Centralia, IL
• Pulmonary Disease Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2011; 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.