1861497240 NPI number — DR. SHEIKH A RAHMAN M.D.

Table of content: DR. SHEIKH A RAHMAN M.D. (NPI 1861497240)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1861497240 NPI number — DR. SHEIKH A RAHMAN M.D.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
RAHMAN
Provider First Name:
SHEIKH
Provider Middle Name:
A
Provider Name Prefix Text:
DR.
Provider Name Suffix Text:
Provider Credential Text:
M.D.
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:
1861497240
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
10/21/2010
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
276 BIELBY RD
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
LAWRENCEBURG
Provider Business Mailing Address State Name:
IN
Provider Business Mailing Address Postal Code:
47025-2787
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
812-537-0344
Provider Business Mailing Address Fax Number:
812-539-4827

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
276 BIELBY RD
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
LAWRENCEBURG
Provider Business Practice Location Address State Name:
IN
Provider Business Practice Location Address Postal Code:
47025-2787
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
812-537-0344
Provider Business Practice Location Address Fax Number:
812-539-4827
Provider Enumeration Date:
06/14/2005

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: 207Q00000X , with the licence number:  IN01028332 , registered in the state of IN ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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

  • Identifier: 000000031838 . This is a "ANTHEM PIN" identifier , issued by the state of ( IN ) . This identifiers is of the category "OTHER".
  • Identifier: 635393 . This is a "AETNA PIN" identifier . This identifiers is of the category "OTHER".
  • Identifier: 0104594 . This is a "UNITED HEALTH CARE PIN" identifier . This identifiers is of the category "OTHER".
  • Identifier: 100093540A , issued by the state of ( IN ) . This identifiers is of the category "MEDICAID".
  • Identifier: N2833204 . This is a "HUMANA PIN" identifier . This identifiers is of the category "OTHER".
  • Identifier: 5409326 . This is a "CIGNA PIN" identifier . This identifiers is of the category "OTHER".




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