Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RN0300X | Nephrologist | 0101253736 | VA |
NPI | 1033271382 |
---|---|
Provider Name | Tariq Rehman |
First Address | Bethesda, MD 20814-2636 |
Second Address | Alexandria, VA 22304-2415 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 14/12/2006 |
Last Update Date | 17/01/2018 |