Basic Information
| Provider Information | |||||||||
| NPI: | 1265434450 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | RAHMAN | ||||||||
| FirstName: | SAAD | ||||||||
| MiddleName: | |||||||||
| NamePrefix: | MR. | ||||||||
| NameSuffix: | |||||||||
| Credential: | MD | ||||||||
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| Mailing Information | |||||||||
| Address1: | 810 FRANKLIN ST SE | ||||||||
| Address2: | STE A | ||||||||
| City: | HUNTSVILLE | ||||||||
| State: | AL | ||||||||
| PostalCode: | 358014310 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2565337676 | ||||||||
| FaxNumber: | 2565333171 | ||||||||
| Practice Location | |||||||||
| Address1: | 810 FRANKLIN ST SE | ||||||||
| Address2: | STE A | ||||||||
| City: | HUNTSVILLE | ||||||||
| State: | AL | ||||||||
| PostalCode: | 358014310 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2565337676 | ||||||||
| FaxNumber: | 2565333171 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 06/01/2005 | ||||||||
| LastUpdateDate: | 07/17/2012 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 174400000X | ME81082 | FL | N | Other Service Providers | Specialist | 207RN0300X | 26604 | AL | Y | Allopathic & Osteopathic Physicians | Internal Medicine | Nephrology |
ID Information
| ID | Type | State | Issuer | Description | ME81082 | 01 | FL | FLORIDA MEDICAL LICENSURE | OTHER | 259999600 | 05 | FL | MEDICAID | 51556143 | 05 | AL | MEDICAID | 51000906 | 01 | AL | BCBS | OTHER |