| Nusrat Rahman Md Pc | |
|
3781 Fort St Lincoln Park MI 48146-4118 | |
| (313) 381-7430 | |
| (313) 381-7958 |
| Full Name | Nusrat Rahman Md Pc |
|---|---|
| Speciality | Internal Medicine |
| Location | 3781 Fort St, Lincoln Park, Michigan |
| Authorized Official Name and Position | Nusrat Z Rahman (OWNER) |
| Authorized Official Contact | 3135907705 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Nusrat Rahman Md Pc 3781 Fort St Lincoln Park MI 48146-4118 Ph: (313) 381-7430 | Nusrat Rahman Md Pc 3781 Fort St Lincoln Park MI 48146-4118 Ph: (313) 381-7430 |
| NPI Number | 1710150909 |
|---|---|
| Provider Enumeration Date | 04/08/2008 |
| Last Update Date | 04/08/2015 |
| Medicare PECOS PAC ID | 2567524432 |
|---|---|
| Medicare Enrollment ID | O20081231000277 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710150909 | NPI | - | NPPES |
| 1092811 TYPE10 | Medicaid | MI | |
| 110 8222342 | Other | MI | BCBS |
| 2124310 TYPE10 | Medicaid | MI | |
| 0208208989 | Other | MI | BCBS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | NR043492 (Michigan) | Primary |
| 208600000X | Surgery | SR033102 (Michigan) | Secondary |
| Provider Name | Nusrat Z Rahman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1770663999 PECOS PAC ID: 0345302212 Enrollment ID: I20081231000307 |
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