Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2081P2900X | Pain Medicine | 4301081265 | MI |
NPI | 1194745265 |
---|---|
Provider Name | Ateeq K Rehman |
First Address | Allen Park, MI 48101-2009 |
Second Address | Allen Park, MI 48101-2009 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 20/07/2006 |
Last Update Date | 02/07/2013 |