Provider Demographics
NPI:1437302049
Name:RAHMAN, HASSAN T (MD)
Entity Type:Individual
Prefix:
First Name:HASSAN
Middle Name:T
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 1:2727 GRAMERCY ST
Mailing Address - Street 2:SUITE 200
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77025-1617
Mailing Address - Country:US
Mailing Address - Phone:713-799-9975
Mailing Address - Fax:713-799-1095
Practice Address - Street 1:2727 GRAMERCY ST
Practice Address - Street 2:SUITE 200
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77025-1617
Practice Address - Country:US
Practice Address - Phone:713-799-9975
Practice Address - Fax:713-799-1095
Is Sole Proprietor?:No
Enumeration Date:2008-10-28
Last Update Date:2017-04-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA63800207W00000X
TXP1583207W00000X, 207WX0107X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
No207WX0107XAllopathic & Osteopathic PhysiciansOphthalmologyRetina Specialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX301928304Medicaid
TX266316YNTHOtherBEAUMONT MEDICARE PIN
TX301928301Medicaid
TX301928302Medicaid
TXP01148466OtherRAILROAD MEDICARE PIN
TX301928305Medicaid
TX1437302049OtherNPI
TX301928303Medicaid
TX266316YYW9Medicare PIN
TX266316ZGQ6Medicare PIN
TX301928303Medicaid
TX301928305Medicaid