Provider Demographics
NPI:1710201702
Name:RAHMAN, MUHAMMED RAKIBUR
Entity Type:Individual
Prefix:
First Name:MUHAMMED
Middle Name:RAKIBUR
Last Name:RAHMAN
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 1:56 FRANCES CT
Mailing Address - Street 2:
Mailing Address - City:LEVITTOWN
Mailing Address - State:NY
Mailing Address - Zip Code:11756-1713
Mailing Address - Country:US
Mailing Address - Phone:516-396-1503
Mailing Address - Fax:718-493-9187
Practice Address - Street 1:56 FRANCES CT
Practice Address - Street 2:
Practice Address - City:LEVITTOWN
Practice Address - State:NY
Practice Address - Zip Code:11756-1713
Practice Address - Country:US
Practice Address - Phone:516-396-1503
Practice Address - Fax:718-493-9187
Is Sole Proprietor?:No
Enumeration Date:2010-03-18
Last Update Date:2010-03-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY043101183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist