Rahman, Daoud Tayyab

Rahman, Daoud Tayyab is an individual health care provider with primary practice located at 60 Memorial Medical Pkwy , Palm Coast FL 32164-5980. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Diagnostic Radiology. Allopathic & Osteopathic Physicians / Diagnostic Radiology is his primary health care specialty. Rahman, Daoud Tayyab can be contacted via phone (386) 586-2000.

Contact Information

Primary practice address
60 Memorial Medical Pkwy Palm Coast FL 32164-5980
Phone: (386) 586-2000
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 01070197A Indiana
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 57001 Kentucky
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X ME124559 Florida

Profile Details

NPI number 1912167305
LBN Legal business name Rahman, Daoud Tayyab
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 10th, 2008
Last updated Aug 16th, 2023 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1912167305 NPPES
Florida Other 9TCQ1 BLUE CROSS BLUE SHIELD
Florida MEDICAID 017260000 BLUE CROSS BLUE SHIELD

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