Provider Demographics
NPI:1972964393
Name:REJBI, MARLA DEANA (DO)
Entity Type:Individual
Prefix:DR
First Name:MARLA
Middle Name:DEANA
Last Name:REJBI
Suffix:
Gender:F
Credentials:DO
Other - Prefix:MISS
Other - First Name:MARLA
Other - Middle Name:DEANA
Other - Last Name:BRENDLEY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:PO BOX 33269
Mailing Address - Street 2:
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85067-3269
Mailing Address - Country:US
Mailing Address - Phone:602-406-4786
Mailing Address - Fax:
Practice Address - Street 1:500 W THOMAS RD STE 600
Practice Address - Street 2:
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85013-4221
Practice Address - Country:US
Practice Address - Phone:602-406-4433
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-03-12
Last Update Date:2023-09-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL036156135207RH0002X
AZ009688207RH0002X
DCDO034798207R00000X
MDH0086777207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RH0002XAllopathic & Osteopathic PhysiciansInternal MedicineHospice and Palliative Medicine
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine