Look up the most recent NPI and PECOS records

Irene Miti Rahman

Internal Medicine

Allopathic & Osteopathic Physicians

PECOS Enrollment

This provider is enrolled in PECOS as IRENE RAHMAN.

Based on the most recent information from CMS, provider Irene Miti Rahman is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records 2 days ago.

Profile Details

Provider ID
1508186875
Provider Type
Individual
Full Name
Rahman, Irene Miti
Credential
M.D.

Gender
Female
Sole Proprietor
No
Enumeration Date
6/9/2010
Last Updated
8/22/2016

Contact Information

Practice Location

17 E 102nd St, New York, NY 10029-5204

(212) 659-8551

(212) 824-2317

Mailing Location

1 Gustave L Levy Pl, Box 3000, New York, NY 10029-6504

(212) 987-3100

(212) 731-5210

Provider Taxonomies

Code	Description	License
Code 207R00000X Primary	Description Internal Medicine Allopathic & Osteopathic Physicians	License 285817 New York
Code 207R00000X	Description Internal Medicine Allopathic & Osteopathic Physicians	License 256543 Massachusetts

Irene Miti Rahman

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Code

Description

License

Shah, Divya

Ekong, Ekong B.

Allyn, Katherine

Halket, Douglas Beckley

Adler, Rhodes S

Yusuf, Marwan Nihad Abdel Rauf

Small, Katherine Morgan

Whipple, Clare Hope

Kent, Jennifer A

Brechtl, John Robert