Provider Demographics
NPI:1699023044
Name:INAM RAHMAN MD INC
Entity type:Organization
Organization Name:INAM RAHMAN MD INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:M.D.
Authorized Official - Prefix:DR
Authorized Official - First Name:INAM
Authorized Official - Middle Name:U
Authorized Official - Last Name:RAHMAN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:808-387-6560
Mailing Address - Street 1:PO BOX 15788
Mailing Address - Street 2:
Mailing Address - City:HONOLULU
Mailing Address - State:HI
Mailing Address - Zip Code:96830-5788
Mailing Address - Country:US
Mailing Address - Phone:808-521-1165
Mailing Address - Fax:808-521-1185
Practice Address - Street 1:50 S BERETANIA ST
Practice Address - Street 2:SUITE C210 A1
Practice Address - City:HONOLULU
Practice Address - State:HI
Practice Address - Zip Code:96813-2208
Practice Address - Country:US
Practice Address - Phone:808-521-1165
Practice Address - Fax:808-521-1185
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-08-15
Last Update Date:2014-07-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HIMD-7993207RG0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RG0300XAllopathic & Osteopathic PhysiciansInternal MedicineGeriatric MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
HIH0000BFBGFMedicare PIN