Provider Demographics
NPI:1235199514
Name:RAHMAN, HAMID U (MD)
Entity Type:Individual
Prefix:
First Name:HAMID
Middle Name:U
Last Name:RAHMAN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1220 HEMLOCK WAY
Mailing Address - Street 2:STE 200
Mailing Address - City:SANTA ANA
Mailing Address - State:CA
Mailing Address - Zip Code:92707-3655
Mailing Address - Country:US
Mailing Address - Phone:714-751-0101
Mailing Address - Fax:714-755-3578
Practice Address - Street 1:1220 HEMLOCK WAY
Practice Address - Street 2:STE 200
Practice Address - City:SANTA ANA
Practice Address - State:CA
Practice Address - Zip Code:92707-3655
Practice Address - Country:US
Practice Address - Phone:714-751-0101
Practice Address - Fax:714-755-3578
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-03-23
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA36842207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAGR0063390Medicaid
A28195Medicare UPIN
CAWA36842DMedicare ID - Type Unspecified