DR. FAREEN SHABANA RAHMAN (NPI# 1427248954) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1427248954 |
| Entity Type | Individual |
| Full Name | DR. FAREEN SHABANA RAHMAN |
| Credential | M.D. |
| Practice Address |
1901 W Kettleman Ln Suite 200 Lodi CA 95242-4337 |
| Mailing Address |
Po Box 241011 Lodi CA 95241-9511 |
| Practice Telephone | 2033348540 |
| Mailing Telephone | 2093397435 |
| Mailing Fax Number | 2093333054 |
| Enumeration Date | 2007-07-31 |
| Last Update Date | 2014-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | A119896 | CA | Allopathic & Osteopathic Physicians |
| N | 208000000X | Pediatrics | A119896 | CA | Allopathic & Osteopathic Physicians |
| Street Address |
1901 W KETTLEMAN LN SUITE 200 |
| City | LODI |
| State | CA |
| Zip Code | 95242-4337 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639175581 | Narinder Singh Dhaliwal | Internal Medicine | 1901 W Kettleman Ln, Suite 200, Lodi, CA 95242-4337 | 2005-06-24 |
| 1013466895 | Donna Schulz | Health Educator | 1901 W Kettleman Ln, Suite 200, Lodi, CA 95242-4337 | 2016-09-22 |
| 1831507052 | Aarti Kumar Joseph | Nurse Practitioner | 1901 W Kettleman Ln, Suite 200, Lodi, CA 95242-4337 | 2014-07-31 |
| 1447681432 | Michelle Jaromay | Nurse Practitioner | 1901 W Kettleman Ln, Suite 200, Lodi, CA 95242-4337 | 2013-12-02 |
| 1538422316 | Pablo R Castro | General Practice | 1901 W Kettleman Ln, Suite 200, Lodi, CA 95242-4337 | 2012-06-18 |
| 1851577241 | Vijay Mirmira | Family Medicine | 1901 W Kettleman Ln, Suite 200, Lodi, CA 95242-4337 | 2008-01-15 |
| 1083801484 | Simran Sethi | General Practice | 1901 W Kettleman Ln, Suite 200, Lodi, CA 95242-4337 | 2007-09-29 |
| 1184794331 | Victor Marcel Gellineau IIi | Family Medicine | 1901 W Kettleman Ln, 200, Lodi, CA 95242-4337 | 2006-11-08 |
| 1417037250 | Norman Dagobert Schmidt | Family Medicine | 1901 W Kettleman Ln, Suite 200, Lodi, CA 95242-4337 | 2006-10-16 |
| 1982709028 | Kevin M Moynihan | Family Medicine | 1901 W Kettleman Ln, Suite 200, Lodi, CA 95242-4337 | 2006-09-13 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285125807 | Victoria Galvez | Psychologist | 1103 Tudor St, Lodi, CA 95242 | 2018-05-21 |
| 1174931471 | Shuk Mei Chung | Physician Assistant | 2122 W Kettleman Ln, Lodi, CA 95242 | 2014-07-30 |
| 1275962169 | Sharon Elizabeth Palmer | Speech-Language Pathologist | 1200 W Tokay St, Lodi, CA 95242 | 2013-11-01 |
| 1114286093 | Brandee Lyn Smith | Speech-Language Pathologist | 1547 Lexington Dr, Lodi, CA 95242 | 2012-05-11 |
| 1255609509 | Jennifer Marie Wallmark | Speech-Language Pathologist | 8 S. Cambridge Dr., Lodi, CA 95242 | 2011-12-01 |
| 1649459546 | Kimberly Ann White | Counselor | 441 S. Ham Lane Suite A, Lodi, CA 95242 | 2007-10-26 |
| 1255541991 | Heather Baldauff | Occupational Therapist | 800 South Lower Sacramento Road, Lodi Memorial Hospital West, Lodi, CA 95242 | 2007-05-23 |
| 1730227182 | Clifford John Bradshaw | Dentist | 801 S Ham Lane, Suite D, Lodi, CA 95242 | 2007-02-01 |
| 1861541799 | Catherine Ann Gravish | Physical Therapist | 800 South Ham Lane, Lodi, CA 95242 | 2007-01-09 |
| 1497814511 | Stewart Chiropractic Corp | Chiropractor | 1420 W Kettleman Ln #k-1, Lodi, CA 95242 | 2006-12-06 |
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| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720420052 | Alycia Gail Findlay | Internal Medicine | 225 Elyria St Ste 102, Lodi, OH 44254-1031 | 2013-07-29 |
| 1023315223 | First Care Providers, LLC | Internal Medicine | 55 Mckinley Ave, Lodi, NJ 07644-2920 | 2011-02-24 |
| 1194906107 | Joseph Kevin Johnson | Internal Medicine | 999 S Fairmont Ave Ste 130, Lodi, CA 95240-5141 | 2007-11-19 |
| 1215149323 | Inpatient Services of California, Inc., A Medical Corporation | Internal Medicine | 975 S. Fairmont Ave, Lodi, CA 95240 | 2007-05-03 |
| 1437292612 | Tomio T. Odama | Internal Medicine | 1117 W Tokay St, Suite A, Lodi, CA 95240-3844 | 2007-02-15 |
| 1730255670 | Graciano B Dichoso | Internal Medicine | 402 Highland Dr, Lodi, OH 44254-1216 | 2006-11-24 |
| 1760595888 | Ronald A. Rigolosi | Internal Medicine | 4 Hunter Street, 2a, Lodi, NJ 07644 | 2006-08-15 |
| 1184662777 | Nora Z Tossounian | Internal Medicine | 160 Essex St Ste 102, Lodi, NJ 07644-2701 | 2006-06-03 |
| 1619934809 | Corey B Colla | Internal Medicine | 918 S Fairmont Ave, Lodi, CA 95240-5119 | 2006-05-01 |
| 1790746097 | Vijay Thamman | Internal Medicine | 361 Garibaldi Ave, Lodi, NJ 07644-3709 | 2006-03-28 |
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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.