Basic Information
Provider Information
NPI: 1457396632
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: REHMAN
FirstName: ZIA
MiddleName: UR
NamePrefix: DR.
NameSuffix:  
Credential: MD
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: PO BOX 751069
Address2:  
City: CHARLOTTE
State: NC
PostalCode: 282751069
CountryCode: US
TelephoneNumber:  
FaxNumber:  
Practice Location
Address1: 521 MOYE BLVD
Address2:  
City: GREENVILLE
State: NC
PostalCode: 278342849
CountryCode: US
TelephoneNumber: 2527441600
FaxNumber: 2527441115
Other Information
ProviderEnumerationDate: 06/19/2006
LastUpdateDate: 12/07/2020
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 12/07/2020

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207RP1001X2006000398MON Allopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease
207RP1001X200600465NCY Allopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease

ID Information
IDTypeStateIssuerDescription
148JH01NCBCBSNCOTHER
P0089273101NCRAILROAD MEDICAREOTHER
590902905NC MEDICAID


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