Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mozibur Rahman

Individual provider Anatomic Pathology & Clinical Pathology Physician · NPI 1124673223

Mozibur Rahman is a Pathology in Lafayette, Louisiana. Qualified in 1997, 29 years ago. Practices with Westchester Medical Center Advanced Physician Services PC, a 880-clinician group and accepts Medicare assignment. Licensed in Louisiana and New York.

Years since qualifying
29
Licensed in
LA, NY
In the registry since
2019
Specialties on file
2
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Practice location Address checks out

1214 Coolidge Blvd Fl 3
Lafayette, LA 70503-2621
Phone: (337) 289-7679
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Anatomic Pathology & Clinical Pathology Physician (primary) Taxonomy 207ZP0102X · Licence 346366 (LA)
Anatomic Pathology & Clinical Pathology Physician Taxonomy 207ZP0102X · Licence 318988-01 (NY)

Record details

NPI number1124673223
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedAugust 6, 2019
Last updated in NPPESOctober 24, 2025
Certification dateOctober 24, 2025
Mailing address316 Redfern St, Lafayette, LA 70508-4487

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPATHOLOGY
Medical schoolOTHER
Graduated 1997 (29 years in practice)
Group practice Westchester Medical Center Advanced Physician Services Pc — 880 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Other providers in Lafayette