Provider Demographics
NPI:1487757951
Name:RAHMAN, KHALIL UR (MD)
Entity type:Individual
Prefix:MR
First Name:KHALIL
Middle Name:UR
Last Name:RAHMAN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:1401 HARRODSBURG RD C-335
Mailing Address - Street 2:
Mailing Address - City:LEXINGTON
Mailing Address - State:KY
Mailing Address - Zip Code:40504
Mailing Address - Country:US
Mailing Address - Phone:859-276-5355
Mailing Address - Fax:859-276-0055
Practice Address - Street 1:1401 HARRODSBURG RD C-335
Practice Address - Street 2:
Practice Address - City:LEXINGTON
Practice Address - State:KY
Practice Address - Zip Code:40504
Practice Address - Country:US
Practice Address - Phone:859-276-5355
Practice Address - Fax:859-276-0055
Is Sole Proprietor?:No
Enumeration Date:2006-09-07
Last Update Date:2014-04-10
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
KY30973207RN0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrology
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY6430973500Medicaid
KY4795830001Medicare NSC
F84140Medicare UPIN
KYCF7872Medicare PIN
KY0040906Medicare PIN