Provider Demographics
NPI:1235366360
Name:RAHMAN, HASEEB AHMAD (MD, DHSC, MSC)
Entity Type:Individual
Prefix:
First Name:HASEEB
Middle Name:AHMAD
Last Name:RAHMAN
Suffix:
Gender:M
Credentials:MD, DHSC, MSC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:300 PINELLAS ST
Mailing Address - Street 2:
Mailing Address - City:CLEARWATER
Mailing Address - State:FL
Mailing Address - Zip Code:33756-3804
Mailing Address - Country:US
Mailing Address - Phone:727-725-6905
Mailing Address - Fax:727-266-4931
Practice Address - Street 1:300 PINELLAS ST
Practice Address - Street 2:
Practice Address - City:CLEARWATER
Practice Address - State:FL
Practice Address - Zip Code:33756-3804
Practice Address - Country:US
Practice Address - Phone:727-725-6905
Practice Address - Fax:727-266-4931
Is Sole Proprietor?:No
Enumeration Date:2009-06-16
Last Update Date:2022-02-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME0119618207R00000X, 208M00000X
AL30921207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208M00000XAllopathic & Osteopathic PhysiciansHospitalist
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine