Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207U00000X | Nuclear Medicine Specialist | 167690-1 | NY |
NPI | 1518930965 |
---|---|
Provider Name | Fazalur C Rehman |
First Address | Buffalo, NY 14220-2039 |
Second Address | Buffalo, NY 14220-2039 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 08/02/2006 |
Last Update Date | 30/04/2008 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
00010146504 | UNIVERA (01) | |
000510930011 | BLUE SHIELD OF WESTERN NY (01) | |
000510930015 | BLUE SHIELD OF WESTERN NY (01) | |
01185088 | (05) | NY |
01185097 | (05) | NY |
040426001883 | FIDELIS (01) | |
040426001884 | FIDELIS (01) | |
360004070 | RAILROAD MEDICARE (01) | |
4903079 | INDEPENDANT HEALTH (01) | |
CNUM1676907 | WORKERS COMPENSATION (01) | NY |
E42857 | (02) | NY |
P00061128 | RAILROAD MEDICARE (01) |