Provider Demographics
NPI:1023285848
Name:RAHMAN, SHEEBA (MD)
Entity type:Individual
Prefix:DR
First Name:SHEEBA
Middle Name:
Last Name:RAHMAN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:301 EAST MAIN STREET
Mailing Address - Street 2:
Mailing Address - City:BAY SHORE
Mailing Address - State:NY
Mailing Address - Zip Code:11706
Mailing Address - Country:US
Mailing Address - Phone:302-255-2707
Mailing Address - Fax:
Practice Address - Street 1:3300 OLD MILTON PKWY STE 175
Practice Address - Street 2:
Practice Address - City:ALPHARETTA
Practice Address - State:GA
Practice Address - Zip Code:30005-2423
Practice Address - Country:US
Practice Address - Phone:470-568-2010
Practice Address - Fax:470-880-5466
Is Sole Proprietor?:Yes
Enumeration Date:2008-05-12
Last Update Date:2022-02-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA330612084P0800X
FLME1284852084P0800X
NY265080-12084P0800X
CAC1591102084P0800X
MN595412084P0800X
DEC70003986390200000X
GA785642084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program