Provider Demographics
NPI:1386838811
Name:RAHMAN, ZIA UR (MD)
Entity Type:Individual
Prefix:
First Name:ZIA
Middle Name:UR
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 1:929 SW MULVANE ST
Mailing Address - Street 2:
Mailing Address - City:TOPEKA
Mailing Address - State:KS
Mailing Address - Zip Code:66606-1677
Mailing Address - Country:US
Mailing Address - Phone:785-274-1007
Mailing Address - Fax:785-270-4202
Practice Address - Street 1:929 SW MULVANE ST
Practice Address - Street 2:
Practice Address - City:TOPEKA
Practice Address - State:KS
Practice Address - Zip Code:66606-1677
Practice Address - Country:US
Practice Address - Phone:828-687-6282
Practice Address - Fax:828-687-6285
Is Sole Proprietor?:No
Enumeration Date:2007-08-28
Last Update Date:2023-10-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS04-41898207RC0000X, 207RC0000X
VA0101242978207Q00000X, 208M00000X
TN44199208M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
No207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
No208M00000XAllopathic & Osteopathic PhysiciansHospitalist
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY7100048740Medicaid
TN103I081731Medicare PIN
KY7100048740Medicaid
TN3041651Medicare PIN
VAMC10497Medicare PIN
TN103I082865Medicare PIN
VAV V5989AMedicare PIN