Provider Demographics
NPI:1497957005
Name:UZMA REHMAN D.O. P.C.
Entity Type:Organization
Organization Name:UZMA REHMAN D.O. P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:UZMA
Authorized Official - Middle Name:
Authorized Official - Last Name:REHMAN
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:586-469-8300
Mailing Address - Street 1:21620 HARRINGTON ST
Mailing Address - Street 2:
Mailing Address - City:CLINTON TOWNSHIP
Mailing Address - State:MI
Mailing Address - Zip Code:48036-2319
Mailing Address - Country:US
Mailing Address - Phone:586-469-8300
Mailing Address - Fax:586-469-8115
Practice Address - Street 1:21620 HARRINGTON ST
Practice Address - Street 2:
Practice Address - City:CLINTON TOWNSHIP
Practice Address - State:MI
Practice Address - Zip Code:48036-2319
Practice Address - Country:US
Practice Address - Phone:586-469-8300
Practice Address - Fax:586-469-8115
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-06-05
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI5101012265207XS0106X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207XS0106XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryHand SurgeryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI4422008Medicaid
MIHO1552Medicare UPIN
MION59910Medicare ID - Type Unspecified