Basic Information
Provider Information
NPI: 1891926572
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: REHMAN
FirstName: AZIZ UR
MiddleName:  
NamePrefix:  
NameSuffix:  
Credential: M.D.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
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OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 10813 SILVERMOON COURT
Address2:  
City: LOUSIVILLE
State: KY
PostalCode: 40241
CountryCode: US
TelephoneNumber: 3146086666
FaxNumber:  
Practice Location
Address1: 4801 ALBERTA AVE
Address2:  
City: EL PASO
State: TX
PostalCode: 799052707
CountryCode: US
TelephoneNumber: 9152155200
FaxNumber: 9152158640
Other Information
ProviderEnumerationDate: 07/29/2009
LastUpdateDate: 02/11/2019
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207R00000X2009010522MON Allopathic & Osteopathic PhysiciansInternal Medicine 
207R00000X48070KYN Allopathic & Osteopathic PhysiciansInternal Medicine 
207R00000XQ4259TXN Allopathic & Osteopathic PhysiciansInternal Medicine 
207R00000X24866WVN Allopathic & Osteopathic PhysiciansInternal Medicine 
207R00000XMD0000051589TNN Allopathic & Osteopathic PhysiciansInternal Medicine 
207RE0101XQ4259TXY Allopathic & Osteopathic PhysiciansInternal MedicineEndocrinology, Diabetes & Metabolism

No ID Information.


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