| NPI | 1275630717 |
|---|---|
| NPI Type | NPI-1 Individual |
| Status | Active |
| Enumeration Date | 2006-09-19 |
| Last Updated | 2026-05-11 |
| Mailing Address | 646 Hills Blvd Port Orange, FL 32127-2902 United States 📍 View Map |
| Primary Practice Address | 11104 W Airport Blvd Ste 138 Stafford, TX 77477-3074 United States Phone: (713) 984-4546 📍 View Map |
| Issuer | State | Number | Other Issuer |
|---|---|---|---|
| MEDICAID | FL | 252738300 | - |
| Other (non-Medicare) | FL | 42316 | BS OF FLORIDA |
| Other (non-Medicare) | FL | K3055 | PTAN |
| Other (non-Medicare) | FL | ME72252 | State License |
| Primary | Taxonomy Code & Description | State | License Number |
|---|---|---|---|
| No | 2084P0800X – Psychiatry & Neurology, Psychiatry | FL | ME72252 |
| Yes | 2084P0805X – | TX | K5186 |
| No | 2084P0805X – | FL | ME72252 |
| No | 207R00000X – Internal Medicine | FL | ME72252 |
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About NPI 1275630717
Riaz Rahman M.D. is a healthcare provider registered in the CMS NPPES NPI Registry with NPI number 1275630717. The provider is located in Stafford, TX. This NPI is classified as a Type 1 (Individual) NPI and is currently active. The NPI was first enumerated (assigned) on 2006-09-19. All data is sourced directly from the official CMS NPPES public API and is updated daily.
Frequently Asked Questions
What is NPI 1275630717?
NPI 1275630717 belongs to Riaz Rahman M.D. in Stafford, TX. It is a Type 1 Individual NPI registered in the CMS NPPES NPI Registry.
Is NPI 1275630717 active?
The current status of NPI 1275630717 in the NPPES registry is Active. The record was last updated on 2026-05-11.
What specialty is NPI 1275630717?
The taxonomy for NPI 1275630717 can be viewed in the Taxonomy section above. Taxonomy codes in NPPES are maintained by the National Uniform Claim Committee (NUCC) and identify the provider's type, classification, and specialization.
How do I verify NPI 1275630717?
You can verify NPI 1275630717 at the official CMS NPPES website at npiregistry.cms.hhs.gov or using our free NPI Lookup tool above. All data shown on this page is sourced directly from the official NPPES public API and is updated daily by CMS.
What address is on file for NPI 1275630717?
The primary practice address on file for NPI 1275630717 is 11104 W Airport Blvd Ste 138, Stafford, TX 77477-3074. This address is registered in the NPPES system and providers are required to update it within 30 days of any change.
When was NPI 1275630717 issued?
NPI 1275630717 was first issued (enumerated) on 2006-09-19. The NPPES record was last updated on 2026-05-11.
Practice Location Map
Riaz Rahman is located at 11104 W Airport Blvd Ste 138, Stafford, TX. Use the map below to find directions or verify the practice location.
Related Healthcare Providers
The following providers share the same practice location, specialty, or state as Riaz Rahman. All records sourced from the CMS NPPES registry.
License Information
The following state license numbers are on file in the NPPES registry for NPI 1275630717. For license status verification, contact the relevant state licensing board directly.
| Specialty / Taxonomy | License Number | State |
|---|---|---|
| Psychiatry & Neurology, Psychiatry | ME72252 | FL |
| 2084P0805X | K5186 | TX |
| 2084P0805X | ME72252 | FL |
| Internal Medicine | ME72252 | FL |