Provider Demographics
NPI:1194963843
Name:RAHMAN, MOHAMMED M (DO)
Entity type:Individual
Prefix:DR
First Name:MOHAMMED
Middle Name:M
Last Name:RAHMAN
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:858 WOODLAND HLS
Mailing Address - Street 2:
Mailing Address - City:HARLAN
Mailing Address - State:KY
Mailing Address - Zip Code:40831-2569
Mailing Address - Country:US
Mailing Address - Phone:606-573-5414
Mailing Address - Fax:
Practice Address - Street 1:858 WOODLAND HLS
Practice Address - Street 2:
Practice Address - City:HARLAN
Practice Address - State:KY
Practice Address - Zip Code:40831-2569
Practice Address - Country:US
Practice Address - Phone:606-573-5414
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-02-02
Last Update Date:2014-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY03230207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine