DR. MANSOOR RAHMAN MBBS
NPI 1205687225
Student in an Organized Health Care Education/Training Program in Dalton, GA

Active since March 28, 2024
1432 BROADRICK DRIVE, DALTON, GA 30720(706) 226-8990(706) 529-5317 Get Directions Write a Review

NPPES record last updated: September 27, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Dr. Mansoor Rahman Mbbs NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. MANSOOR RAHMAN MBBS (NPI 1205687225) is an individual student in an organized health care education/training program in Dalton, Georgia, licensed in Georgia (16827) and active in the NPI registry since March 2024.

NPPES Registry Identity

NPI1205687225
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameDR. MANSOOR RAHMANCredential: MBBS
Location Address1432 BROADRICK DRIVEDalton, GA 30720
Mailing Address1200 Memorial DriveDalton, GA 30720 · (706) 226-8996 · Fax (706) 272-6761
Fax(706) 529-5317
Sole ProprietorNo
Enumeration DateMarch 28, 2024
Last NPPES UpdateSeptember 27, 2024
NPPES CertifiedMarch 27, 2024
NPI 1205687225 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
License Licensed in GA · 16827
Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

1432 BROADRICK DRIVE, Dalton, GA 30720

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Podiatrist
1432 BROADRICK DRIVE, DALTON FOOT AND ANKLE SURGERY CENTER
DALTON, GA 30720
Clinic/Center (Podiatric)
1432 BROADRICK DRIVE
DALTON, GA 30720
Student in an Organized Health Care Education/Training Program
1432 BROADRICK DRIVE
DALTON, GA 30720
Student in an Organized Health Care Education/Training Program
1432 BROADRICK DRIVE
DALTON, GA 30720
Student in an Organized Health Care Education/Training Program
1432 BROADRICK DRIVE
DALTON, GA 30720
Student in an Organized Health Care Education/Training Program
1432 BROADRICK DRIVE
DALTON, GA 30720
Student in an Organized Health Care Education/Training Program
1432 BROADRICK DRIVE
DALTON, GA 30720
Student in an Organized Health Care Education/Training Program
1432 BROADRICK DRIVE
DALTON, GA 30720

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1205687225, enumerated as an "individual" on March 28, 2024.

The provider is located at 1432 BROADRICK DRIVE DALTON, GA 30720 and the phone number is (706) 226-8990.

Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.