Provider Demographics
NPI:1689186082
Name:REHMAN, TAHIRA A
Entity Type:Individual
Prefix:
First Name:TAHIRA
Middle Name:A
Last Name:REHMAN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2174 RICHLAND CT
Mailing Address - Street 2:
Mailing Address - City:WALDORF
Mailing Address - State:MD
Mailing Address - Zip Code:20601-2690
Mailing Address - Country:US
Mailing Address - Phone:240-310-6764
Mailing Address - Fax:
Practice Address - Street 1:2174 RICHLAND CT
Practice Address - Street 2:
Practice Address - City:WALDORF
Practice Address - State:MD
Practice Address - Zip Code:20601-2690
Practice Address - Country:US
Practice Address - Phone:240-310-6764
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-10-26
Last Update Date:2017-10-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant