Provider Demographics
NPI:1346753225
Name:ASM RAHMAN MD LLC
Entity Type:Organization
Organization Name:ASM RAHMAN MD LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:ASM
Authorized Official - Middle Name:
Authorized Official - Last Name:RAHMAN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:646-483-9029
Mailing Address - Street 1:PO BOX 5518
Mailing Address - Street 2:
Mailing Address - City:OCALA
Mailing Address - State:FL
Mailing Address - Zip Code:34478-5518
Mailing Address - Country:US
Mailing Address - Phone:646-483-9029
Mailing Address - Fax:407-554-3280
Practice Address - Street 1:5050 COUNTY ROAD 472
Practice Address - Street 2:
Practice Address - City:OXFORD
Practice Address - State:FL
Practice Address - Zip Code:34484-3750
Practice Address - Country:US
Practice Address - Phone:646-483-9029
Practice Address - Fax:407-554-3280
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-11-14
Last Update Date:2023-08-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty