Active NPIIndividual provider

Dr. Amjad Abdulrahman, MD

Internal Medicine in Irmo, South Carolina

NPI Number1194718841
Practice location
7430 College St, Irmo, SC 29063-2903
Fax
803-799-1922
Last updated
July 8, 2021

Dr. Amjad Abdulrahman, MD is a Internal Medicine based in Irmo, SC. Dr. Amjad Abdulrahman, MD holds the professional credentials of MD. The NPI number for Dr. Amjad Abdulrahman, MD is 1194718841 and holds license No. 21671 (SC). The current practice location address is 7430 College St, Irmo, SC 29063-2903 and the office can be reached by phone at 803-732-4001 and by fax at 803-799-1922. The NPI was assigned on August 29, 2005 and the record was last updated in NPPES on July 8, 2021.

●Provider Profile Details

NPI Number
1194718841
Provider Name
Amjad Abdulrahman
Credential
MD
Entity Type
Individual (Type 1 NPI)
Gender
Male
Primary Taxonomy
Internal Medicine · 207R00000X
Sole Proprietor
No
Enumeration Date
August 29, 2005
Last Update Date
July 8, 2021
Certification Date
July 8, 2021
NPI Status
Active

◉Business Practice Location Address

Address
7430 College St
Irmo, SC 29063-2903
City
Irmo
ZIP
29063-2903
Country
US
Phone Number
803-732-4001
Fax Number
803-799-1922

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✉Business Mailing Address

Address
Po Box 530062
Atlanta, GA 30353-0062
City
Atlanta
State
GA
ZIP
30353-0062
Phone Number
843-695-6071
Fax Number
843-569-5879

✎Taxonomy & License Information

TaxonomyCodePrimaryLicenseState
Internal Medicine207R00000XYes21671SC

#Other Provider Identifiers

No legacy or other identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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?Frequently Asked Questions

What is the NPI number of Dr. Amjad Abdulrahman, MD?

The NPI number of Dr. Amjad Abdulrahman, MD is 1194718841. It was assigned on August 29, 2005 and is currently active in the NPPES registry.

What is the specialty of Dr. Amjad Abdulrahman, MD?

Dr. Amjad Abdulrahman, MD is registered under the primary taxonomy Internal Medicine (code 207R00000X) and holds license No. 21671 (SC).

Where does Dr. Amjad Abdulrahman, MD practice?

The practice location is 7430 College St, Irmo, SC 29063-2903. The office can be reached at 803-732-4001 (phone) or 803-799-1922 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1194718841 directly on the NPPES registry website at npiregistry.cms.hhs.gov.

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