Provider Demographics
NPI:1447414511
Name:RAHMAN, HUSAN ARA (MD)
Entity Type:Individual
Prefix:DR
First Name:HUSAN
Middle Name:ARA
Last Name:RAHMAN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6060 W BRISTOL RD
Mailing Address - Street 2:MC 485-542-250
Mailing Address - City:FLINT
Mailing Address - State:MI
Mailing Address - Zip Code:48554-0001
Mailing Address - Country:US
Mailing Address - Phone:810-635-5271
Mailing Address - Fax:810-635-6216
Practice Address - Street 1:6060 W BRISTOL RD
Practice Address - Street 2:MC 485-542-250
Practice Address - City:FLINT
Practice Address - State:MI
Practice Address - Zip Code:48554-0001
Practice Address - Country:US
Practice Address - Phone:810-635-5271
Practice Address - Fax:810-635-6216
Is Sole Proprietor?:Yes
Enumeration Date:2008-07-17
Last Update Date:2008-07-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI404567261QX0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QX0100XAmbulatory Health Care FacilitiesClinic/CenterOccupational Medicine