Provider Demographics
NPI:1265434450
Name:RAHMAN, SAAD (MD)
Entity type:Individual
Prefix:MR
First Name:SAAD
Middle Name:
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 1:810 FRANKLIN ST SE
Mailing Address - Street 2:STE A
Mailing Address - City:HUNTSVILLE
Mailing Address - State:AL
Mailing Address - Zip Code:35801-4310
Mailing Address - Country:US
Mailing Address - Phone:256-533-7676
Mailing Address - Fax:256-533-3171
Practice Address - Street 1:810 FRANKLIN ST SE
Practice Address - Street 2:STE A
Practice Address - City:HUNTSVILLE
Practice Address - State:AL
Practice Address - Zip Code:35801-4310
Practice Address - Country:US
Practice Address - Phone:256-533-7676
Practice Address - Fax:256-533-3171
Is Sole Proprietor?:No
Enumeration Date:2005-06-01
Last Update Date:2012-07-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME81082174400000X
AL26604207RN0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrology
No174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLME81082OtherFLORIDA MEDICAL LICENSURE
FL259999600Medicaid
AL51556143Medicaid
AL51000906OtherBCBS
FLME81082OtherFLORIDA MEDICAL LICENSURE
FL51723ZMedicare ID - Type Unspecified
AL51556143Medicare ID - Type Unspecified
AL51000906OtherBCBS
FL51723XMedicare ID - Type Unspecified