| Asima Rahman LLC | |
|
1224 Chesaco Ave Baltimore MD 21237-2632 | |
| (410) 391-3700 | |
| Not Available |
| Full Name | Asima Rahman LLC |
|---|---|
| Speciality | Internal Medicine |
| Location | 1224 Chesaco Ave, Baltimore, Maryland |
| Authorized Official Name and Position | Asima Rahman (OWNER/MEDICAL DOCTOR) |
| Authorized Official Contact | 4103913700 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Asima Rahman LLC 1224 Chesaco Ave Baltimore MD 21237-2632 Ph: (410) 391-3700 | Asima Rahman LLC 1224 Chesaco Ave Baltimore MD 21237-2632 Ph: (410) 391-3700 |
| NPI Number | 1891358289 |
|---|---|
| Provider Enumeration Date | 04/21/2019 |
| Last Update Date | 04/25/2019 |
| Medicare PECOS PAC ID | 4688908098 |
|---|---|
| Medicare Enrollment ID | O20190618003270 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891358289 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | () | Primary |
| Provider Name | Asima Rahman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1043537939 PECOS PAC ID: 4486898418 Enrollment ID: I20130913000079 |
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