Basic Information
| Provider Information | |||||||||
| NPI: | 1518345974 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | TARIQ | ||||||||
| FirstName: | REHMAN | ||||||||
| MiddleName: | |||||||||
| NamePrefix: | DR. | ||||||||
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| Credential: | M.D. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 3774 CASCADES BLVD APT 102 | ||||||||
| Address2: | |||||||||
| City: | KENT | ||||||||
| State: | OH | ||||||||
| PostalCode: | 442408042 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3215278977 | ||||||||
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| Practice Location | |||||||||
| Address1: | 155 5TH ST NE | ||||||||
| Address2: | SUMMA BARBERTON HOSPITAL | ||||||||
| City: | BARBERTON | ||||||||
| State: | OH | ||||||||
| PostalCode: | 442033332 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3306153000 | ||||||||
| FaxNumber: | 3306153230 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 05/18/2015 | ||||||||
| LastUpdateDate: | 10/29/2019 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | Y | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207R00000X | 35.132248 | OH | Y | Allopathic & Osteopathic Physicians | Internal Medicine |
No ID Information.