| Mujib Rahman Md Medical Clinic Llc | |
|
2512 E Market St Unit B Warren OH 44483-6266 | |
| (330) 766-0138 | |
| Not Available |
| Full Name | Mujib Rahman Md Medical Clinic Llc |
|---|---|
| Speciality | Psychiatry & Neurology - Neurology |
| Location | 2512 E Market St Unit B, Warren, Ohio |
| Authorized Official Name and Position | Muhammad Mujibur Rahman (MD/OWNER) |
| Authorized Official Contact | 3307660138 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mujib Rahman Md Medical Clinic Llc 1606 Avalon Creek Blvd Vienna OH 44473-9558 Ph: () - | Mujib Rahman Md Medical Clinic Llc 2512 E Market St Unit B Warren OH 44483-6266 Ph: (330) 766-0138 |
| NPI Number | 1578949517 |
|---|---|
| Provider Enumeration Date | 07/31/2015 |
| Last Update Date | 03/07/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578949517 | NPI | - | NPPES |
| 001721763 | Other | WV | BCBS SERVICE PROVIDER |
| 3004665000 | Medicaid | WV | |
| 1487748406 | Other | NPI | |
| H298420 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | 35094687 (Ohio) | Primary |
| 2084N0600X | Psychiatry & Neurology - Clinical Neurophysiology | 35094687 (Ohio) | Secondary |
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