| Dr Fareen Shabana Rahman, MD | |
|
1901 W Kettleman Ln, Suite 200, Lodi, CA 95242-4337 | |
| (203) 334-8540 | |
| Not Available |
| Full Name | Dr Fareen Shabana Rahman |
|---|---|
| Gender | Female |
| Speciality | Hospitalist |
| Experience | 24 Years |
| Location | 1901 W Kettleman Ln, Lodi, California |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427248954 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | A119896 (California) | Secondary |
| 208000000X | Pediatrics | A119896 (California) | Secondary |
| 208M00000X | Hospitalist | A119896 (California) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Adventist Health Lodi Memorial | Lodi, CA | Hospital |
| St Joseph's Medical Center Of Stockton | Stockton, CA | Hospital |
| Dameron Hospital | Stockton, CA | Hospital |
| San Joaquin General Hospital | French camp, CA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Galen Inpatient Physicians Pc | 3678464633 | 692 |
| Community Medical Team Inc | 4981058575 | 10 |
| Entity Name | Galen Inpatient Physicians Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1689320459 PECOS PAC ID: 3678464633 Enrollment ID: O20040322000680 |
| Entity Name | Adventist Health Physicians Network |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1063718583 PECOS PAC ID: 3274580972 Enrollment ID: O20050407000633 |
| Entity Name | Lodi Memorial Hospital Association Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1861649352 PECOS PAC ID: 7618880717 Enrollment ID: O20050517000577 |
| Entity Name | Hospitalist Medicine Physicians Of California Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1184663965 PECOS PAC ID: 8426062027 Enrollment ID: O20060202000956 |
| Entity Name | Inpatient Specialists Of California Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1952792475 PECOS PAC ID: 3476864448 Enrollment ID: O20150617000915 |
| Entity Name | Hospitalist Medicine Physicians Of California-tcg Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1952880437 PECOS PAC ID: 4880938679 Enrollment ID: O20181205001780 |
| Entity Name | Community Medical Team Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1306521422 PECOS PAC ID: 4981058575 Enrollment ID: O20231002000431 |
| Entity Name | Community Medical Team Acute Care Corporation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1366210478 PECOS PAC ID: 4587002290 Enrollment ID: O20240401001405 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Fareen Shabana Rahman, MD Po Box 241011, Lodi, CA 95241-9511 Ph: (209) 339-7435 | Dr Fareen Shabana Rahman, MD 1901 W Kettleman Ln, Suite 200, Lodi, CA 95242-4337 Ph: (203) 334-8540 |
Dr. Michael Lee Bain Purviance, MD Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 975 S Fairmont Ave, Lodi, CA 95240 Phone: 209-334-3411 |