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Contact Information

AZIZ RAHMAN MD FACP PC
1050 MARTIN LUTHER KING DR
STE 109
CENTRALIA, IL62801
 Phone: 618-532-0998
 Fax: 618-532-0304
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pulmonary Disease

207RP1001X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for AZIZ RAHMAN MD FACP PC · (Female)

NPI Number 1508160359
Status Active
Credentials
Entity Individual
Enumeration date 01/07/2011
Last updated 01/07/2011 - About 15 years ago
Sole proprietor 1 Not specified
Identifiers
  • IL License # 036064167
  • IL Medicaid 036064167
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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