Ehsanur Rahman, MD

Primary specialty

Cardiovascular Disease PhysicianTaxonomy code 207RC0000X

License

C1001862 Issued in DE

Practice address

One Centurian Drive
Suite 200
Newark, DE 19702

Phone

(302) 366-8600

Fax

(302) 366-5658

NPI assigned

Feb 13, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Cardiology Specialists PA

  • Cardiovascular Disease Physician
  • Newark, DE
  • NPI 1376602540
  NPD (past) Authorized official

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

{
    "created_epoch": "1171324800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1317772800000",
    "number": "1508908096",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "ONE CENTURIAN DRIVE",
            "address_2": "SUITE 200",
            "city": "NEWARK",
            "state": "DE",
            "postal_code": "19713",
            "telephone_number": "302-366-8600",
            "fax_number": "303-366-5647"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "ONE CENTURIAN DRIVE",
            "address_2": "SUITE 200",
            "city": "NEWARK",
            "state": "DE",
            "postal_code": "19702",
            "telephone_number": "302-366-8600",
            "fax_number": "302-366-5658"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAHMAN",
        "first_name": "EHSANUR",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-13",
        "last_updated": "2011-10-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "DE",
            "license": "C1001862",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000032101",
            "state": "DE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ellen E Radziewicz, P.A.-C
• Cynthia L. Rae, MS ED
• Rafiquendocrine, LLC
• Heather E Ragozine-Bush, MD
• Azka Rahman, MD
• Juliana M. Rahmer, FNP
• Kaci Alyssa Rainey, MSN, RN, CEN
• Lauren Rainey, MSN, APRN, WHNP-BC
• Irene Raisis, MD
• Leonidas W Raisis, MD

• Cardiovascular Disease Physician in Newark, DE
• Providers in Newark, DE by specialty
• Cardiovascular Disease Physician in Delaware

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 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.