Provider Demographics
NPI:1477339778
Name:UDDIN, MD RAHIM
Entity Type:Individual
Prefix:
First Name:MD
Middle Name:RAHIM
Last Name:UDDIN
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2973 LEHMAN ST
Mailing Address - Street 2:
Mailing Address - City:HAMTRAMCK
Mailing Address - State:MI
Mailing Address - Zip Code:48212-3523
Mailing Address - Country:US
Mailing Address - Phone:313-985-4226
Mailing Address - Fax:
Practice Address - Street 1:2973 LEHMAN ST
Practice Address - Street 2:
Practice Address - City:HAMTRAMCK
Practice Address - State:MI
Practice Address - Zip Code:48212-3523
Practice Address - Country:US
Practice Address - Phone:313-985-4226
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-09-04
Last Update Date:2023-09-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes372500000XNursing Service Related ProvidersChore Provider