Rahman, Ryan S

Rahman, Ryan S is an sole proprietor health care provider with primary practice located at 712 Macon Ave , Canon City CO 81212-3314. 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
712 Macon Ave Canon City CO 81212-3314
Phone: (719) 285-8890
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #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 Nov 15th, 2021 - about 5 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 1053673509 NPPES
Missouri MEDICAID 1053673509
Missouri MEDICAID 230369001
Missouri MEDICAID Q038592
Missouri MEDICAID 08855093

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