Provider Demographics
NPI:1669568127
Name:RAHMAN, MOHAMMAD SAJJADUR (PHARMD)
Entity type:Individual
Prefix:DR
First Name:MOHAMMAD
Middle Name:SAJJADUR
Last Name:RAHMAN
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:PASHA
Other - Middle Name:
Other - Last Name:RAHMAN
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:PHARMD
Mailing Address - Street 1:120 W PARKER RD
Mailing Address - Street 2:
Mailing Address - City:PLANO
Mailing Address - State:TX
Mailing Address - Zip Code:75075-2331
Mailing Address - Country:US
Mailing Address - Phone:972-633-1365
Mailing Address - Fax:972-633-1365
Practice Address - Street 1:120 W PARKER RD
Practice Address - Street 2:
Practice Address - City:PLANO
Practice Address - State:TX
Practice Address - Zip Code:75075-2331
Practice Address - Country:US
Practice Address - Phone:972-633-1365
Practice Address - Fax:972-633-1365
Is Sole Proprietor?:No
Enumeration Date:2006-10-04
Last Update Date:2008-07-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX39391183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist