Provider Demographics
NPI:1861497240
Name:RAHMAN, SHEIKH A (MD)
Entity Type:Individual
Prefix:DR
First Name:SHEIKH
Middle Name:A
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 1:276 BIELBY RD
Mailing Address - Street 2:
Mailing Address - City:LAWRENCEBURG
Mailing Address - State:IN
Mailing Address - Zip Code:47025-2787
Mailing Address - Country:US
Mailing Address - Phone:812-537-0344
Mailing Address - Fax:812-539-4827
Practice Address - Street 1:276 BIELBY RD
Practice Address - Street 2:
Practice Address - City:LAWRENCEBURG
Practice Address - State:IN
Practice Address - Zip Code:47025-2787
Practice Address - Country:US
Practice Address - Phone:812-537-0344
Practice Address - Fax:812-539-4827
Is Sole Proprietor?:No
Enumeration Date:2005-06-14
Last Update Date:2010-10-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ININ01028332207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN000000031838OtherANTHEM PIN
635393OtherAETNA PIN
0104594OtherUNITED HEALTH CARE PIN
IN100093540AMedicaid
N2833204OtherHUMANA PIN
5409326OtherCIGNA PIN
INE05316Medicare UPIN
IN170950AMedicare ID - Type UnspecifiedMEDICARE RENDERING