Rahman, Ryan S
Rahman, Ryan S is an sole proprietor health care provider with primary practice located at 1335 Phay Ave Ste A , Canon City CO 81212-2349. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Rahman, Ryan S can be contacted via phone (719) 285-8890.Contact Information
Primary practice address
1335 Phay Ave Ste A
Canon City CO 81212-2349
Phone: (719) 285-8890
Fax: (719) 208-7373
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 53997 | Tennessee |
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 0066781 | Colorado |
Profile Details
| NPI number | 1053673509 |
|---|---|
| LBN Legal business name | Rahman, Ryan S |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 11th, 2012 |
| Last updated | May 5th, 2025 - about last year |
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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1053673509 | NPPES |
| Arkansas | MEDICAID | 230369001 | |
| Arkansas | MEDICAID | Q038592 | |
| Arkansas | MEDICAID | 08855093 | |
| Arkansas | MEDICAID | 1053673509 |
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