Provider Demographics
NPI:1063613461
Name:RAHMAN, SAUD SAQIB (MD)
Entity type:Individual
Prefix:MR
First Name:SAUD
Middle Name:SAQIB
Last Name:RAHMAN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:25 RIVERSIDE DR STE 2
Mailing Address - Street 2:
Mailing Address - City:PINE BROOK
Mailing Address - State:NJ
Mailing Address - Zip Code:07058-9391
Mailing Address - Country:US
Mailing Address - Phone:201-599-9044
Mailing Address - Fax:201-599-9066
Practice Address - Street 1:25 RIVERSIDE DR STE 2
Practice Address - Street 2:
Practice Address - City:PINE BROOK
Practice Address - State:NJ
Practice Address - Zip Code:07058-9391
Practice Address - Country:US
Practice Address - Phone:201-599-9044
Practice Address - Fax:201-599-9066
Is Sole Proprietor?:No
Enumeration Date:2007-05-31
Last Update Date:2019-03-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MA08948600207ZP0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207ZP0102XAllopathic & Osteopathic PhysiciansPathologyAnatomic Pathology & Clinical Pathology