Provider Demographics
NPI:1992704605
Name:RAHMAN, S NOOR (MD)
Entity type:Individual
Prefix:DR
First Name:S
Middle Name:NOOR
Last Name:RAHMAN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:DR
Other - First Name:SYED
Other - Middle Name:NOOR
Other - Last Name:RAHMAN
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MD
Mailing Address - Street 1:PO BOX 18048
Mailing Address - Street 2:
Mailing Address - City:SUGAR LAND
Mailing Address - State:TX
Mailing Address - Zip Code:77496-8048
Mailing Address - Country:US
Mailing Address - Phone:713-790-0085
Mailing Address - Fax:713-790-0048
Practice Address - Street 1:6560 FANNIN ST STE 1600
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77030-2734
Practice Address - Country:US
Practice Address - Phone:713-790-0085
Practice Address - Fax:713-790-0048
Is Sole Proprietor?:No
Enumeration Date:2005-07-15
Last Update Date:2025-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXJ3582207RN0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX1672768-01Medicaid
TX00143XMedicare ID - Type Unspecified
TX1672768-01Medicaid