Basic Information
Provider Information
NPI: 1578828752
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: REHMAN
FirstName: SHAHNAZ
MiddleName: UL
NamePrefix: DR.
NameSuffix:  
Credential: MD
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 900 S LIMESTONE CTW 303
Address2:  
City: LEXINGTON
State: KY
PostalCode: 405360200
CountryCode: US
TelephoneNumber: 5932380728
FaxNumber: 8592579691
Practice Location
Address1: 800 ROSE ST
Address2:  
City: LEXINGTON
State: KY
PostalCode: 40536
CountryCode: US
TelephoneNumber: 8592571000
FaxNumber:  
Other Information
ProviderEnumerationDate: 07/12/2012
LastUpdateDate: 07/27/2018
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207R00000X51642KYN Allopathic & Osteopathic PhysiciansInternal Medicine 
207RP1001X51642KYN Allopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease
207RC0200X51642KYY Allopathic & Osteopathic PhysiciansInternal MedicineCritical Care Medicine

No ID Information.


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