Provider Demographics
NPI:1780659797
Name:BECKER, REHANA PARVEEN (MD)
Entity Type:Individual
Prefix:
First Name:REHANA
Middle Name:PARVEEN
Last Name:BECKER
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:REHANA
Other - Middle Name:PARVEEN
Other - Last Name:AHMED
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:12221 N MOPAC EXPY
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78758-2401
Mailing Address - Country:US
Mailing Address - Phone:512-901-4009
Mailing Address - Fax:512-901-3992
Practice Address - Street 1:1250 S CAPITAL OF TEXAS HWY FL 1
Practice Address - Street 2:
Practice Address - City:WEST LAKE HILLS
Practice Address - State:TX
Practice Address - Zip Code:78746-6446
Practice Address - Country:US
Practice Address - Phone:512-334-2403
Practice Address - Fax:512-334-2493
Is Sole Proprietor?:No
Enumeration Date:2006-02-22
Last Update Date:2022-01-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXK9964207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
144512100OtherFIRST CARE
84055XOtherBCBS
TX047257301Medicaid
TX047257303Medicaid
TXP00988779OtherRRMDCR
84055XOtherBCBS
144512100OtherFIRST CARE
TXTXB130688Medicare PIN