NPIMap

Organization Active NPI

Mujib Rahman MD Medical Clinic

  • Neurological Surgery Physician
  • Elkins, WV
National Provider Identifier
1740605278
Registry record updated Feb 20, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurological Surgery PhysicianTaxonomy code 207T00000X
License
21335 Issued in WV
Legal business name
MUJIB RAHMAN MD MEDICAL CLINIC
Practice address
911 Gorman Ave
Suite 303
Elkins, WV 26241-3082
Phone
(800) 294-7001
NPI assigned
Feb 20, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 20, 2014

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

Authorized official

Name
Muhammad Mujibur Rahman, MD
Title
MD/Owner
Phone
(304) 704-5955

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurological Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207T00000X 21335 WV Primary

Addresses

Primary practice location

911 Gorman Ave
Suite 303
Elkins, WV 26241-3082

Mailing address

110 Valley CT
Elkins, WV 26241-9201

National Provider Directory

National Provider Directory
Tax ID family
Mujib Rahman MD Medical Clinic2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

911 Gorman Ave
Ste 303
Elkins, WV 26241
Phone (304) 637-2360

NPI Registry JSON

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

{
    "created_epoch": "1392854400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1392854400000",
    "number": "1740605278",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 VALLEY CT",
            "city": "ELKINS",
            "state": "WV",
            "postal_code": "262419201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "911 GORMAN AVE",
            "address_2": "SUITE 303",
            "city": "ELKINS",
            "state": "WV",
            "postal_code": "262413082",
            "telephone_number": "800-294-7001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MUJIB RAHMAN MD MEDICAL CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-02-20",
        "last_updated": "2014-02-20",
        "status": "A",
        "authorized_official_last_name": "RAHMAN",
        "authorized_official_first_name": "MUHAMMAD",
        "authorized_official_middle_name": "MUJIBUR",
        "authorized_official_title_or_position": "MD/OWNER",
        "authorized_official_telephone_number": "304-704-5955",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Neurological Surgery",
            "state": "WV",
            "license": "21335",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elkins, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2014; 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.