MUJIB RAHMAN MD MEDICAL CLINIC LLC (NPI# 1578949517) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578949517 |
| Entity Type | Organization |
| Organization Name | MUJIB RAHMAN MD MEDICAL CLINIC LLC |
| Practice Address |
2512 E Market St Unit B Warren OH 44483-6266 |
| Mailing Address |
1606 Avalon Creek Blvd Vienna OH 44473-9558 |
| Practice Telephone | 3307660138 |
| Enumeration Date | 2015-07-31 |
| Last Update Date | 2015-07-31 |
| Authorized Official Name | MUHAMMAD MUJIBUR RAHMAN (MD/OWNER) |
| Authorized Official Telephone | 3307660138 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2084N0600X |
Psychiatry & Neurology Specialization: Clinical Neurophysiology |
35094687 | OH | Allopathic & Osteopathic Physicians |
| Y | 2084N0400X |
Psychiatry & Neurology Specialization: Neurology |
35094687 | OH | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | DEA | BR6402743 | 01 |
| WV | BCBS SERVICE PROVIDER | 001721763 | 01 |
| NPI | 1487748406 | 01 | |
| WV | 3004665000 | 05 | |
| OH | H298420 | 05 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Ohio Business Entities | MUJIB RAHMAN MD MEDICAL CLINIC LLC | 1606 Avalon Creek Blvd, Vienna, WV 44473 |
| Street Address |
2512 E MARKET ST UNIT B |
| City | WARREN |
| State | OH |
| Zip Code | 44483-6266 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417572850 | Kimberly Lee Slater | Peer Specialist | 709 Mahoning Ave Nw, Warren, OH 44483 | 2020-06-11 |
| 1083239792 | Krutarth Kandarp Pandya | Student in an Organized Health Care Education/Training Program | 1350 East Market Street 7th Floor, Warren, OH 44483 | 2020-06-09 |
| 1902435738 | Peter Alexander Iskander | Student in an Organized Health Care Education/Training Program | 1350 E Market Street, 7th Floor, Warren, OH 44483 | 2020-04-03 |
| 1093344822 | Matthew Jacob | Student in an Organized Health Care Education/Training Program | 1350 East Market Street, 7th Floor, Warren, OH 44483 | 2020-04-03 |
| 1306309638 | Sameer Raj Joshi | Student in an Organized Health Care Education/Training Program | 1350 East Market Street, Warren, OH 44483 | 2019-04-12 |
| 1336619964 | Alexis Valentino | Nurse Practitioner | 247 Oak Knoll Se, Warren, OH 44483 | 2018-11-27 |
| 1538656921 | Biswaraj Tharu | Student in an Organized Health Care Education/Training Program | 1350 East Market Street, Trumbull Regional Medical Cent, Warren, OH 44483 | 2018-04-20 |
| 1790216448 | Jeannie Gurich | Substance Abuse Rehabilitation Facility | 2737 Youngstown Warren Rd. Se, Warren, OH 44483 | 2017-03-24 |
| 1205388634 | Laurie L Horvath | Midwife | 1651 E Market, Warren, OH 44483 | 2016-11-02 |
| 1235586264 | Travis Robert Dickey | Physical Therapist | 4329 Mahoning Ave. Nw, Warren, OH 44483 | 2016-05-19 |
| Find all providers in zip 44483 | ||||
| Taxonomy Code | 2084N0400X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Neurology |
| A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760847651 | Sudad Louis Md Pllc | Psychiatry & Neurology | 31500 Dequindre Rd Ste 500, Warren, MI 48092-1057 | 2015-12-21 |
| 1790946531 | Jeffrey Alan Goldberg | Psychiatry & Neurology | 8425 E 12 Mile Rd, Suite#112, Warren, MI 48093-2738 | 2008-06-24 |
| 1295993640 | Herman Grishaver | Psychiatry & Neurology | 12 Crescent Park, Warren, PA 16365-2217 | 2008-05-31 |
| 1467525675 | Macomb Neurology Associates PC | Psychiatry & Neurology | 27427 Schoenherr, Ste 100, Warren, MI 48088 | 2006-11-16 |
| 1053495671 | Auburn Neurology Associates PC | Psychiatry & Neurology | 27101 Schoenherr Ave, Ste 200, Warren, MI 48088-4730 | 2006-10-24 |
| 1083680235 | Narayan P Verma | Psychiatry & Neurology | 31150 Hoover Rd Ste B, Ste B, Warren, MI 48093-7618 | 2006-02-27 |
| 1104898493 | Holly J Maggiano | Psychiatry & Neurology | 8828 East Market St., Warren, OH 44484 | 2006-02-02 |
| 1760782239 | Holly J Maggiano Md Inc | Psychiatry & Neurology | 983 Niles Cortland Rd Se, Warren, OH 44484-2555 | 2010-10-29 |
| 1417115809 | Abelardo G Contreras Md PC | Psychiatry & Neurology | 29135 Ryan Road, Suite B, Warren, MI 48092-4279 | 2008-06-02 |
| 1316117310 | David Lustig Do PC | Psychiatry & Neurology | 13355 E 10 Mile Rd, 224, Warren, MI 48089-2048 | 2008-03-05 |
| Find all providers in WARREN | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.