Provider Demographics
NPI:1982631115
Name:RAHMAN, RASHIDA KHATOON (MD)
Entity Type:Individual
Prefix:
First Name:RASHIDA
Middle Name:KHATOON
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 1:9378 FORESTWOOD LN STE E
Mailing Address - Street 2:
Mailing Address - City:MANASSAS
Mailing Address - State:VA
Mailing Address - Zip Code:20110-4742
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:9378 FORESTWOOD LN STE E
Practice Address - Street 2:
Practice Address - City:MANASSAS
Practice Address - State:VA
Practice Address - Zip Code:20110-4742
Practice Address - Country:US
Practice Address - Phone:703-361-7341
Practice Address - Fax:703-368-9757
Is Sole Proprietor?:No
Enumeration Date:2006-06-26
Last Update Date:2024-01-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0101038195207RN0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrology
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA006097154Medicaid
VA010298997Medicaid
VA010298997Medicaid
00X132K02Medicare ID - Type Unspecified
VA006097154Medicaid