Provider Demographics
NPI:1881653541
Name:MUNIR, SOFIA RAHMAN (MD)
Entity Type:Individual
Prefix:
First Name:SOFIA
Middle Name:RAHMAN
Last Name:MUNIR
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:SOFIA
Other - Middle Name:
Other - Last Name:RAHMAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:7215 WYOMING SPGS
Mailing Address - Street 2:BLD. 2., SUITE 300A
Mailing Address - City:ROUND ROCK
Mailing Address - State:TX
Mailing Address - Zip Code:78681-4312
Mailing Address - Country:US
Mailing Address - Phone:512-341-0900
Mailing Address - Fax:512-341-2895
Practice Address - Street 1:7215 WYOMING SPGS
Practice Address - Street 2:BLD. 2., SUITE 300A
Practice Address - City:ROUND ROCK
Practice Address - State:TX
Practice Address - Zip Code:78681-4312
Practice Address - Country:US
Practice Address - Phone:512-341-0900
Practice Address - Fax:512-341-2895
Is Sole Proprietor?:No
Enumeration Date:2006-03-21
Last Update Date:2010-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXM0537207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX181371901Medicaid
04977773OtherECFMG
TX8F2868Medicare ID - Type Unspecified
TX181371901Medicaid