| Doctor Name: | AMANUR MOHAMMED RAHMAN |
| NPI Number: | 1104162502 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | M.D. |
| License Number: | 271450 |
| Business Practice Address: | 2015 Grand Concourse Bronx, NY - 104534303 |
| Business Phone Number: | 7182997295 |
| Business Fax Number: | |
| Mailing Address: | 3198 Grand Concourse, BRONX |
| State: | NY |
| Postal Code: | 104581000 |
| Phone Number: | 7182997295 |
| Fax Number: | |
| NPI Enumeration Date: | 12/13/2012 |
| NPI Last Update Date: | 02/25/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | 271450 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NY |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |