| Doctor Name: | S.M. ATIQUR RAHMAN |
| NPI Number: | 1538206933 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | MD |
| License Number: | ME115118 |
| Business Practice Address: | 1065 Ne 125th St North Miami, FL - 331615821 |
| Business Phone Number: | 3058910050 |
| Business Fax Number: | |
| Mailing Address: | 816 Nw 11th St Apt 609, MIAMI |
| State: | FL |
| Postal Code: | 331363121 |
| Phone Number: | |
| Fax Number: | |
| NPI Enumeration Date: | 02/01/2007 |
| NPI Last Update Date: | 10/24/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | ME115118 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | FL |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |