Provider Demographics
NPI:1184945578
Name:JAMAL RAHAMAN GYN ONCOLOGIST PLLC
Entity type:Organization
Organization Name:JAMAL RAHAMAN GYN ONCOLOGIST PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:JAMAL
Authorized Official - Middle Name:
Authorized Official - Last Name:RAHAMAN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:212-427-1415
Mailing Address - Street 1:1136 5TH AVE
Mailing Address - Street 2:SUITE 1B
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10128-0122
Mailing Address - Country:US
Mailing Address - Phone:212-427-1415
Mailing Address - Fax:212-427-1420
Practice Address - Street 1:1136 5TH AVE
Practice Address - Street 2:SUITE 1B
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10128-0122
Practice Address - Country:US
Practice Address - Phone:212-427-1415
Practice Address - Fax:212-427-1420
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-06-20
Last Update Date:2010-06-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207VX0201XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGynecologic OncologyGroup - Single Specialty