Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2081P2900X | Pain Medicine | ME84002 | FL |
NPI | 1013920602 |
---|---|
Provider Name | Arkam Rehman |
First Address | Orlando, FL 32891-9327 |
Second Address | Orange Park, FL 32073-5174 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 14/08/2006 |
Last Update Date | 27/10/2014 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
G54001 | (02) |