Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RN0300X | Nephrologist | L9889 | TX |
NPI | 1053370346 |
---|---|
Provider Name | Rehana Saquib |
First Address | Dallas, TX 75235-2208 |
Second Address | Plano, TX 75093-5340 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 23/03/2006 |
Last Update Date | 23/06/2011 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
168380701 | (05) | TX |