Provider Demographics
NPI:1649858242
Name:RAHMAN, RAMISA (DO)
Entity type:Individual
Prefix:DR
First Name:RAMISA
Middle Name:
Last Name:RAHMAN
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:804 SHANNON DR
Mailing Address - Street 2:
Mailing Address - City:PLANO
Mailing Address - State:TX
Mailing Address - Zip Code:75025-2531
Mailing Address - Country:US
Mailing Address - Phone:214-585-1630
Mailing Address - Fax:
Practice Address - Street 1:4300 N CENTRAL EXPY STE 365
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75206-6532
Practice Address - Country:US
Practice Address - Phone:469-949-2730
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-04-02
Last Update Date:2024-08-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXV1868207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine