| Mohammed F Rahman Llc | |
|
1451 El Camino Real The Villages FL 32159-0041 | |
| (516) 305-0264 | |
| Not Available |
| Full Name | Mohammed F Rahman Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 1451 El Camino Real, The Villages, Florida |
| Authorized Official Name and Position | Mohammed Rahman (OWNER) |
| Authorized Official Contact | 5163050264 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mohammed F Rahman Llc 720 N Us Highway 441 # 1044 Lady Lake FL 32159-3194 Ph: (516) 305-0264 | Mohammed F Rahman Llc 1451 El Camino Real The Villages FL 32159-0041 Ph: (516) 305-0264 |
| NPI Number | 1497494124 |
|---|---|
| Provider Enumeration Date | 06/01/2022 |
| Last Update Date | 06/01/2022 |
| Medicare PECOS PAC ID | 1355721457 |
|---|---|
| Medicare Enrollment ID | O20220707001138 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497494124 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Secondary |
| 207RN0300X | Internal Medicine - Nephrology | (* (Not Available)) | Primary |
| Provider Name | Mohammed Faisal Rahman |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1518227537 PECOS PAC ID: 4789992264 Enrollment ID: I20220707001530 |
| Provider Name | Simone Maria Lowman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407459944 PECOS PAC ID: 0042686172 Enrollment ID: I20230809003010 |
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