Provider Demographics
NPI:1730821463
Name:RAHMAN, RIFAT
Entity type:Individual
Prefix:
First Name:RIFAT
Middle Name:
Last Name:RAHMAN
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:DIVISION OF ALLERGY & IMMUNOLOGY
Mailing Address - Street 2:660 SOUTH EUCLID AVE., CAMPUS BOX 8122-0021-03
Mailing Address - City:ST. LOUIS
Mailing Address - State:MO
Mailing Address - Zip Code:63110
Mailing Address - Country:US
Mailing Address - Phone:314-454-7376
Mailing Address - Fax:314-454-7120
Practice Address - Street 1:1110 HIGHLANDS PLAZA DR.
Practice Address - Street 2:SUITE 300
Practice Address - City:ST. LOUIS
Practice Address - State:MO
Practice Address - Zip Code:63110-1353
Practice Address - Country:US
Practice Address - Phone:314-996-8670
Practice Address - Fax:866-362-4984
Is Sole Proprietor?:No
Enumeration Date:2022-04-12
Last Update Date:2025-09-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program