Male or Other

Dr. Daoud T. Rahman MD

Diagnostic Radiology Physician in Palm Coast, FL(View on Map)

Full Name

Dr. Daoud Tayyab Rahman MD

NPI Number

1912167305

NPI Type

Individual Provider

Gender

Male

Enumeration Date

06/10/2008

Specialties

(Taxonomies)

Code

2085R0202X
207R00000X

Primary Taxonomy

Yes
No

Licenses

State

Florida
Indiana
Kentucky

License Number

ME124559
01070197A
57001

Contact
Information

Purpose

Mailing
Location

Address

60 MEMORIAL MEDICAL PKWY
60 MEMORIAL MEDICAL PKWY

City

Palm Coast
Palm Coast

State

FL
FL

Postal Code

32164-5980
32164-5980

Country

US
US

Telephone Number

(386) 586-2000
(386) 586-2000

Identifiers

Identifier

9TCQ1
017260000

Identifier State

FL
FL

Identifier Issuer

BLUE CROSS BLUE SHIELD
Unknown

Health Information Exchange

Endpoint Type

DIRECT

Endpoint

drahman112187@direct.tgh.org

Endpoint Description

Unknown

Use

Unknown

Content Type

Unknown

Affiliation

N

Endpoint Location

13330 Usf Laurel DrTampa, FL336126601US

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 08/16/2023

Provider Address

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