Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207VE0102X | Reproductive Endocrinologist | MD00048342 | WA |
NPI | 1316096811 |
---|---|
Provider Name | Mr. Khurram Shamim Rehman |
First Address | Seattle, WA 98124-5653 |
Second Address | Bellevue, WA 98004-4623 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 10/01/2007 |
Last Update Date | 27/08/2007 |