Basic Information
Provider Information
NPI: 1215293311
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: RAHMAN
FirstName: FAISAL
MiddleName:  
NamePrefix:  
NameSuffix:  
Credential: B.M., B.CH
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
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OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 1504 TAUB LOOP
Address2:  
City: HOUSTON
State: TX
PostalCode: 770301608
CountryCode: US
TelephoneNumber: 7138732000
FaxNumber:  
Practice Location
Address1: 1504 TAUB LOOP
Address2:  
City: HOUSTON
State: TX
PostalCode: 770301608
CountryCode: US
TelephoneNumber: 7138732000
FaxNumber:  
Other Information
ProviderEnumerationDate: 04/03/2012
LastUpdateDate: 11/30/2021
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 11/30/2021

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207R00000X262258MAN Allopathic & Osteopathic PhysiciansInternal Medicine 
207RC0000XT2476TXY Allopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease

No ID Information.


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