Provider Demographics
NPI:1316988116
Name:RAHMAN, JOSEPH ESAUM (MD)
Entity type:Individual
Prefix:DR
First Name:JOSEPH
Middle Name:ESAUM
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 1:1245 WILSHIRE BLVD STE 580
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90017-5854
Mailing Address - Country:US
Mailing Address - Phone:213-977-0419
Mailing Address - Fax:213-977-0225
Practice Address - Street 1:1245 WILSHIRE BLVD STE 580
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90017-5854
Practice Address - Country:US
Practice Address - Phone:213-977-0419
Practice Address - Fax:213-977-0225
Is Sole Proprietor?:No
Enumeration Date:2006-06-10
Last Update Date:2023-07-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA85354207RA0001X, 207R00000X, 207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RA0001XAllopathic & Osteopathic PhysiciansInternal MedicineAdvanced Heart Failure and Transplant Cardiology
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00A853540Medicaid
CA00A853540Medicaid
CAI40117Medicare UPIN