Provider Demographics
NPI:1962263178
Name:RAHMAN, AMANEE ALI (PA)
Entity type:Individual
Prefix:
First Name:AMANEE
Middle Name:ALI
Last Name:RAHMAN
Suffix:
Gender:F
Credentials:PA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9168 ACADIA PL
Mailing Address - Street 2:
Mailing Address - City:CORDOVA
Mailing Address - State:TN
Mailing Address - Zip Code:38018-7125
Mailing Address - Country:US
Mailing Address - Phone:669-292-4232
Mailing Address - Fax:
Practice Address - Street 1:9168 ACADIA PL
Practice Address - Street 2:
Practice Address - City:CORDOVA
Practice Address - State:TN
Practice Address - Zip Code:38018-7125
Practice Address - Country:US
Practice Address - Phone:669-292-4232
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-01-16
Last Update Date:2024-01-16
Deactivation Date:
Deactivation Code:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant