Provider Demographics
NPI:1447136320
Name:RAHMAN, TANZEEL UR (MD)
Entity type:Individual
Prefix:
First Name:TANZEEL UR
Middle Name:
Last Name:RAHMAN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6 GRANADA CRES APT 9
Mailing Address - Street 2:
Mailing Address - City:WHITE PLAINS
Mailing Address - State:NY
Mailing Address - Zip Code:10603-1221
Mailing Address - Country:US
Mailing Address - Phone:914-587-3421
Mailing Address - Fax:914-587-3421
Practice Address - Street 1:6 GRANADA CRES APT 9
Practice Address - Street 2:
Practice Address - City:WHITE PLAINS
Practice Address - State:NY
Practice Address - Zip Code:10603-1221
Practice Address - Country:US
Practice Address - Phone:914-587-3421
Practice Address - Fax:914-587-3421
Is Sole Proprietor?:Yes
Enumeration Date:2025-08-14
Last Update Date:2025-08-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYNA2080P0207X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080P0207XAllopathic & Osteopathic PhysiciansPediatricsPediatric Hematology-Oncology