Provider Demographics
NPI:1275758948
Name:REHMAN, MUNAZZA NAJEEB (MD)
Entity Type:Individual
Prefix:
First Name:MUNAZZA
Middle Name:NAJEEB
Last Name:REHMAN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:314 CHELSEA CT
Mailing Address - Street 2:
Mailing Address - City:HORSEHEADS
Mailing Address - State:NY
Mailing Address - Zip Code:14845-2283
Mailing Address - Country:US
Mailing Address - Phone:607-796-2953
Mailing Address - Fax:413-793-7407
Practice Address - Street 1:WALTER REED ARMY MEDICAL CENTER 6900 GEORGIA AVE NW
Practice Address - Street 2:ATTN MCHL-MAO-C
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20307-0001
Practice Address - Country:US
Practice Address - Phone:202-782-7341
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-16
Last Update Date:2011-12-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD00622272084P0800X
TXM63912084P0800X
NY2633662084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry