Provider Demographics
NPI:1952375578
Name:RAHMAN, MOHAMMAD P (MD)
Entity Type:Individual
Prefix:
First Name:MOHAMMAD
Middle Name:P
Last Name:RAHMAN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:2 HOT METAL ST
Mailing Address - Street 2:QUANTUM ONE, N431
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15203-2348
Mailing Address - Country:US
Mailing Address - Phone:412-432-5806
Mailing Address - Fax:412-432-7691
Practice Address - Street 1:3204 JOHNSON RD
Practice Address - Street 2:TERAMANA CANCER CENTER
Practice Address - City:STEUBENVILLE
Practice Address - State:OH
Practice Address - Zip Code:43952-2354
Practice Address - Country:US
Practice Address - Phone:740-266-3900
Practice Address - Fax:740-266-3906
Is Sole Proprietor?:No
Enumeration Date:2006-02-13
Last Update Date:2009-04-06
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
PAMD071570L207RH0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RH0003XAllopathic & Osteopathic PhysiciansInternal MedicineHematology & Oncology
Provider Identifiers
StateIdentifier IDID TypeIssuer
WV1804330000Medicaid
OH2199884Medicaid
PA857948OtherHIGHMARK BS
PA0018142380011Medicaid
OH00000325759OtherANTHEM BS
PA0018142380008Medicaid
OH11059550OtherCAQH
WV000857948OtherMOUNTAIN STATE BLUE SHIELD
PA0018142380010Medicaid
WV001545220OtherMOUNTAIN STATE BLUE SHIELD
VA010251702Medicaid
PA0018142380008Medicaid
OHRA4110241Medicare PIN
PA0018142380011Medicaid
OH11059550OtherCAQH
VA010251702Medicaid
OHP00204280Medicare PIN