Organization Active NPI

Khawaja M. Rahman, M.D., Professional Association

  • Neurology Physician
  • Nashua, NH
National Provider Identifier
1881877082
Registry record updated Aug 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
7655 Issued in NH
Legal business name
KHAWAJA M. RAHMAN, M.D., PROFESSIONAL ASSOCIATION
Practice address
171 Kinsley St
Nashua, NH 03060-3654
Phone
(603) 881-7100
Fax
(603) 598-9049
NPI assigned
Dec 11, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 7, 2022

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

Authorized official

Name
Dr. Khawaja M Rahman, MD
Title
Owner
Phone
(603) 881-7100

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084N0400X 7655 NH Primary

Addresses

Primary practice location

171 Kinsley St
Nashua, NH 03060-3654

Mailing address

171 Kinsley St
Nashua, NH 03060-3654
Phone (603) 881-7100

Other identifiers 2

IdentifierTypeStateIssuer
10905443OtherNHCAQH
30002941MedicaidNH

National Provider Directory

National Provider Directory

Locations

171 Kinsley St
Nashua, NH 03060
Phone (603) 881-7100

168 Kinsley St
Ste 2
Nashua, NH 03060
Phone (603) 881-7100

NPI Registry JSON

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

{
    "created_epoch": "1197331200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1659830400000",
    "number": "1881877082",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "171 KINSLEY ST",
            "city": "NASHUA",
            "state": "NH",
            "postal_code": "030603654",
            "telephone_number": "603-881-7100",
            "fax_number": "603-598-9049"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "171 KINSLEY ST",
            "city": "NASHUA",
            "state": "NH",
            "postal_code": "030603654",
            "telephone_number": "603-881-7100",
            "fax_number": "603-598-9049"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KHAWAJA M. RAHMAN, M.D., PROFESSIONAL ASSOCIATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-11",
        "last_updated": "2022-08-07",
        "certification_date": "2022-08-07",
        "status": "A",
        "authorized_official_last_name": "RAHMAN",
        "authorized_official_first_name": "KHAWAJA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "603-881-7100",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "NH",
            "license": "7655",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "10905443",
            "state": "NH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30002941",
            "state": "NH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Nashua, NH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2022; 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.