Provider Demographics
NPI:1376596155
Name:REHMAN, HAROON UR (MD)
Entity Type:Individual
Prefix:DR
First Name:HAROON
Middle Name:UR
Last Name:REHMAN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:DR
Other - First Name:HAROONUR
Other - Middle Name:
Other - Last Name:REHMAN
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MD
Mailing Address - Street 1:3200 TALON DR STE 300
Mailing Address - Street 2:IMEDICINE AND PRIMARY CARE ASSOC., PLLC .
Mailing Address - City:RICHARDSON
Mailing Address - State:TX
Mailing Address - Zip Code:75082-9706
Mailing Address - Country:US
Mailing Address - Phone:972-649-5937
Mailing Address - Fax:972-807-0385
Practice Address - Street 1:3200 TALON DR STE 300
Practice Address - Street 2:IMEDICINE AND PRIMARY CARE ASSOC., PLLC
Practice Address - City:RICHARDSON
Practice Address - State:TX
Practice Address - Zip Code:75082-9706
Practice Address - Country:US
Practice Address - Phone:972-649-5937
Practice Address - Fax:972-807-0385
Is Sole Proprietor?:Yes
Enumeration Date:2006-05-19
Last Update Date:2015-01-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4301082368207R00000X
VA0101244806207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
VAVAA101147Medicare PIN