Provider Demographics
NPI:1235977513
Name:RAHMAN, SHAH ALMAS
Entity type:Individual
Prefix:
First Name:SHAH
Middle Name:ALMAS
Last Name:RAHMAN
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3928 PLEASANT TRL
Mailing Address - Street 2:
Mailing Address - City:DORAVILLE
Mailing Address - State:GA
Mailing Address - Zip Code:30340-2416
Mailing Address - Country:US
Mailing Address - Phone:404-796-6067
Mailing Address - Fax:
Practice Address - Street 1:3928 PLEASANT TRL
Practice Address - Street 2:
Practice Address - City:DORAVILLE
Practice Address - State:GA
Practice Address - Zip Code:30340-2416
Practice Address - Country:US
Practice Address - Phone:404-796-6067
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-07-19
Last Update Date:2024-07-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program