1366651093 NPI number — NOMA A REHMAN MD MBBS

Table of content: NOMA A REHMAN MD MBBS (NPI 1366651093)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1366651093 NPI number — NOMA A REHMAN MD MBBS

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
REHMAN
Provider First Name:
NOMA
Provider Middle Name:
A
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
MD MBBS
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1366651093
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
02/08/2022
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
8262 ATLEE RD STE 201
Provider Second Line Business Mailing Address:
MOB III
Provider Business Mailing Address City Name:
MECHANICSVILLE
Provider Business Mailing Address State Name:
VA
Provider Business Mailing Address Postal Code:
23116-1816
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
804-325-8720
Provider Business Mailing Address Fax Number:
804-764-7351

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
8262 ATLEE RD STE 201
Provider Second Line Business Practice Location Address:
MOB III
Provider Business Practice Location Address City Name:
MECHANICSVILLE
Provider Business Practice Location Address State Name:
VA
Provider Business Practice Location Address Postal Code:
23116-1816
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
804-325-8720
Provider Business Practice Location Address Fax Number:
804-764-7351
Provider Enumeration Date:
05/21/2007

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 2084N0400X , with the licence number:  0101243009 , registered in the state of VA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 1366651093 . This is a "NPI" identifier , issued by the state of ( VA ) . This identifiers is of the category "OTHER".
  • Identifier: C06115 . This is a "GROUP PTAN" identifier , issued by the state of ( VA ) . This identifiers is of the category "OTHER".




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