Provider Demographics
NPI:1538654876
Name:REHMAN, MUHAMMAD EBAD UR (MD)
Entity Type:Individual
Prefix:
First Name:MUHAMMAD EBAD
Middle Name:UR
Last Name:REHMAN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:500 CHESTNUT ST STE 140
Mailing Address - Street 2:
Mailing Address - City:BOWLING GREEN
Mailing Address - State:KY
Mailing Address - Zip Code:42101-1738
Mailing Address - Country:US
Mailing Address - Phone:270-904-2050
Mailing Address - Fax:270-904-4117
Practice Address - Street 1:500 CHESTNUT STREET
Practice Address - Street 2:
Practice Address - City:BOWLING GREEN
Practice Address - State:KY
Practice Address - Zip Code:42101-8437
Practice Address - Country:US
Practice Address - Phone:270-904-2050
Practice Address - Fax:270-904-4117
Is Sole Proprietor?:No
Enumeration Date:2018-06-28
Last Update Date:2024-02-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4351029838390200000X
KY57156207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program