Provider Demographics
NPI:1073825709
Name:REHMAN, MUHAMMAD SAQIB
Entity Type:Individual
Prefix:
First Name:MUHAMMAD
Middle Name:SAQIB
Last Name:REHMAN
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:327 COLLEGE ST
Mailing Address - Street 2:SUIT 207
Mailing Address - City:WOODLAND
Mailing Address - State:CA
Mailing Address - Zip Code:95695-3458
Mailing Address - Country:US
Mailing Address - Phone:530-681-3116
Mailing Address - Fax:
Practice Address - Street 1:327 COLLEGE ST
Practice Address - Street 2:SUIT 207
Practice Address - City:WOODLAND
Practice Address - State:CA
Practice Address - Zip Code:95695-3458
Practice Address - Country:US
Practice Address - Phone:530-681-3116
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-07-10
Last Update Date:2012-02-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAB6029343900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)