| Asm Rahman Md Llc | |
|
5050 County Road 472 Oxford FL 34484-3750 | |
| (646) 483-9029 | |
| (407) 554-3280 |
| Full Name | Asm Rahman Md Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 5050 County Road 472, Oxford, Florida |
| Authorized Official Name and Position | Asm Rahman (CEO) |
| Authorized Official Contact | 6464839029 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Asm Rahman Md Llc Po Box 5518 Ocala FL 34478-5518 Ph: (646) 483-9029 | Asm Rahman Md Llc 5050 County Road 472 Oxford FL 34484-3750 Ph: (646) 483-9029 |
| NPI Number | 1346753225 |
|---|---|
| Provider Enumeration Date | 11/14/2017 |
| Last Update Date | 08/23/2023 |
| Medicare PECOS PAC ID | 2668731993 |
|---|---|
| Medicare Enrollment ID | O20180112001784 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346753225 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Pamela J Cook |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891713871 PECOS PAC ID: 1052414554 Enrollment ID: I20070320000700 |
| Provider Name | John T Russell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770761348 PECOS PAC ID: 0547315053 Enrollment ID: I20090908000126 |
| Provider Name | Surendar S Veera |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1053566059 PECOS PAC ID: 9537210844 Enrollment ID: I20110314000501 |
| Provider Name | Asm M. Rahman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1871789487 PECOS PAC ID: 2264603992 Enrollment ID: I20110928000836 |
| Provider Name | Joel C Pelissier |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1730454323 PECOS PAC ID: 5092961946 Enrollment ID: I20120808000365 |
| Provider Name | Nichola K Ricketts |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750824207 PECOS PAC ID: 5799069928 Enrollment ID: I20170307000366 |
| Provider Name | Melloney K Williams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205426087 PECOS PAC ID: 1658788120 Enrollment ID: I20210329002347 |
| Provider Name | Jawad Ahsan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1043707839 PECOS PAC ID: 5496150104 Enrollment ID: I20220818002654 |
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