1730821463 NPI number — RIFAT RAHMAN

Table of content: RIFAT RAHMAN (NPI 1730821463)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1730821463 NPI number — RIFAT RAHMAN

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
RAHMAN
Provider First Name:
RIFAT
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:
M

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1730821463
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
09/26/2025
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
DIVISION OF ALLERGY & IMMUNOLOGY
Provider Second Line Business Mailing Address:
660 SOUTH EUCLID AVE., CAMPUS BOX 8122-0021-03
Provider Business Mailing Address City Name:
ST. LOUIS
Provider Business Mailing Address State Name:
MO
Provider Business Mailing Address Postal Code:
63110
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
314-454-7376
Provider Business Mailing Address Fax Number:
314-454-7120

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1110 HIGHLANDS PLAZA DR.
Provider Second Line Business Practice Location Address:
SUITE 300
Provider Business Practice Location Address City Name:
ST. LOUIS
Provider Business Practice Location Address State Name:
MO
Provider Business Practice Location Address Postal Code:
63110-1353
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
314-996-8670
Provider Business Practice Location Address Fax Number:
866-362-4984
Provider Enumeration Date:
04/12/2022

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 390200000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





Copyright © 2007-2025 www.npivalidator.com