Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Ryan S Rahman, MD

Individual provider Family Medicine Physician · NPI 1053673509

Dr. Ryan S Rahman, MD is a Family Medicine Physician in Canon City, Colorado. Practices as a sole proprietor. Licensed in Colorado and Tennessee.

Licensed in
CO, TN
In the registry since
2012
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

1335 Phay Ave Ste A
Canon City, CO 81212-2349
Phone: (719) 285-8890
Fax: (719) 208-7373
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 0066781 (CO)
Family Medicine Physician Taxonomy 207Q00000X · Licence 53997 (TN)

Record details

NPI number1053673509
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedJune 11, 2012
Last updated in NPPESMay 5, 2025
Certification dateMay 5, 2025
Mailing address712 Macon Ave, Canon City, CO 81212-3314

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