Provider Demographics
NPI:1043537939
Name:RAHMAN, ASIMA (MD)
Entity type:Individual
Prefix:DR
First Name:ASIMA
Middle Name:
Last Name:RAHMAN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11013 HIDDEN FOX CT
Mailing Address - Street 2:
Mailing Address - City:ELLICOTT CITY
Mailing Address - State:MD
Mailing Address - Zip Code:21042-6124
Mailing Address - Country:US
Mailing Address - Phone:240-278-8426
Mailing Address - Fax:
Practice Address - Street 1:9110 PHILADELPHIA RD STE 100
Practice Address - Street 2:
Practice Address - City:ROSEDALE
Practice Address - State:MD
Practice Address - Zip Code:21237-4323
Practice Address - Country:US
Practice Address - Phone:410-391-3700
Practice Address - Fax:410-391-4355
Is Sole Proprietor?:No
Enumeration Date:2010-04-30
Last Update Date:2024-12-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD0075313207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD06859Medicaid