Basic Information
| Provider Information | |||||||||
| NPI: | 1649369521 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | RAHMAN | ||||||||
| FirstName: | SYED | ||||||||
| MiddleName: | M. | ||||||||
| NamePrefix: | DR. | ||||||||
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| Credential: | MD | ||||||||
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| Mailing Information | |||||||||
| Address1: | DEPT 960390 | ||||||||
| Address2: | |||||||||
| City: | OKLAHOMA CITY | ||||||||
| State: | OK | ||||||||
| PostalCode: | 731960390 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8884472450 | ||||||||
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| Practice Location | |||||||||
| Address1: | 231 S COLLINS | ||||||||
| Address2: | EMERGENCY ROOM PHYSICIANS GROUP | ||||||||
| City: | SUNNYVALE | ||||||||
| State: | TX | ||||||||
| PostalCode: | 751824624 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9728923000 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 10/11/2006 | ||||||||
| LastUpdateDate: | 03/15/2012 | ||||||||
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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 | 207P00000X | K6694 | TX | Y | Allopathic & Osteopathic Physicians | Emergency Medicine | 207R00000X | K6694 | TX | N | Allopathic & Osteopathic Physicians | Internal Medicine |
ID Information
| ID | Type | State | Issuer | Description | 171267106 | 05 | TX | MEDICAID | P00993212 | 01 | TX | RRMCARE THRU IEPOS | OTHER |