Provider Demographics
NPI:1295547214
Name:RAHMAN, ZIAUR
Entity type:Individual
Prefix:
First Name:ZIAUR
Middle Name:
Last Name:RAHMAN
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:ZIAUR
Other - Middle Name:
Other - Last Name:RAHMAN
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:ZIAUR
Mailing Address - Street 1:35617 DOYLE DR
Mailing Address - Street 2:
Mailing Address - City:STERLING HEIGHTS
Mailing Address - State:MI
Mailing Address - Zip Code:48310-5154
Mailing Address - Country:US
Mailing Address - Phone:248-989-5869
Mailing Address - Fax:
Practice Address - Street 1:35617 DOYLE DR
Practice Address - Street 2:
Practice Address - City:STERLING HEIGHTS
Practice Address - State:MI
Practice Address - Zip Code:48310-5154
Practice Address - Country:US
Practice Address - Phone:248-989-5869
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-01-25
Last Update Date:2025-01-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care
No310400000XNursing & Custodial Care FacilitiesAssisted Living Facility
No171W00000XOther Service ProvidersContractor