Provider Demographics
NPI:1386190676
Name:REHMAN, MUBASSHAR
Entity Type:Individual
Prefix:
First Name:MUBASSHAR
Middle Name:
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:DIVISION OF NEPHROLOGY MOUNT SINAI ST. LUKE'S HOSPITAL
Mailing Address - Street 2:1111 AMSTERDAM AVENUE
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10025
Mailing Address - Country:US
Mailing Address - Phone:212-523-3530
Mailing Address - Fax:
Practice Address - Street 1:DIVISION OF NEPHROLOGY MOUNT SINAI ST. LUKE'S HOSPITAL
Practice Address - Street 2:1111 AMSTERDAM AVENUE
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10025
Practice Address - Country:US
Practice Address - Phone:212-523-3530
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-08-28
Last Update Date:2016-08-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYNO LICENCE ISSUED207RN0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrology