Provider Demographics
NPI:1083491443
Name:REHMAN, TOOBA (DMD)
Entity Type:Individual
Prefix:
First Name:TOOBA
Middle Name:
Last Name:REHMAN
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2001 ALICEANNA ST APT 462
Mailing Address - Street 2:
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21231-3864
Mailing Address - Country:US
Mailing Address - Phone:518-847-6502
Mailing Address - Fax:
Practice Address - Street 1:1166 STATE ROUTE 3 S STE 211
Practice Address - Street 2:
Practice Address - City:GAMBRILLS
Practice Address - State:MD
Practice Address - Zip Code:21054-1776
Practice Address - Country:US
Practice Address - Phone:410-721-2409
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-09-11
Last Update Date:2023-09-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD182291223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice