Provider Demographics
NPI:1801222732
Name:RAHMAN, KAZI SAIDUR (DPM)
Entity type:Individual
Prefix:DR
First Name:KAZI
Middle Name:SAIDUR
Last Name:RAHMAN
Suffix:
Gender:M
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 2632
Mailing Address - Street 2:
Mailing Address - City:VISALIA
Mailing Address - State:CA
Mailing Address - Zip Code:93279-2632
Mailing Address - Country:US
Mailing Address - Phone:559-733-3346
Mailing Address - Fax:
Practice Address - Street 1:820 S AKERS ST
Practice Address - Street 2:SUITE 220
Practice Address - City:VISALIA
Practice Address - State:CA
Practice Address - Zip Code:93277-8346
Practice Address - Country:US
Practice Address - Phone:559-733-3346
Practice Address - Fax:559-733-5059
Is Sole Proprietor?:Yes
Enumeration Date:2013-09-24
Last Update Date:2016-09-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAE5270213ES0103X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle Surgery