Nusrat Rahman MD PC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

NR043492 Issued in MI

Legal business name

NUSRAT RAHMAN MD PC

Practice address

3781 Fort St
Lincoln Park, MI 48146-4118

Phone

(313) 381-7430

Fax

(313) 381-7958

NPI assigned

Apr 8, 2008

Organization subpart

No

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

Authorized official

Name

Mrs. Nusrat Z Rahman, M.D.

Title

Owner

Phone

(313) 590-7705

Specialties & licenses 2

Addresses

Other identifiers 4

Other names 1

• S.M. Rahman MD PC Former legal business name

Locations

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

{
    "created_epoch": "1207612800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1428451200000",
    "number": "1710150909",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3781 FORT ST",
            "city": "LINCOLN PARK",
            "state": "MI",
            "postal_code": "481464118",
            "telephone_number": "313-381-7430",
            "fax_number": "313-381-7958"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3781 FORT ST",
            "city": "LINCOLN PARK",
            "state": "MI",
            "postal_code": "481464118",
            "telephone_number": "313-381-7430",
            "fax_number": "313-381-7958"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NUSRAT RAHMAN MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-08",
        "last_updated": "2015-04-08",
        "status": "A",
        "authorized_official_last_name": "RAHMAN",
        "authorized_official_first_name": "NUSRAT",
        "authorized_official_middle_name": "Z",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "313-590-7705",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "NR043492",
            "primary": true
        },
        {
            "code": "208600000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery",
            "state": "MI",
            "license": "SR033102",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1092811 TYPE10",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "110 8222342",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2124310 TYPE10",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "0208208989",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "S.M. Rahman MD PC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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• Internal Medicine Physician in Lincoln Park, MI
• Providers in Lincoln Park, MI by specialty
• Internal Medicine Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2015; 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.