Provider Demographics
NPI:1013920602
Name:REHMAN, ARKAM (MD)
Entity Type:Individual
Prefix:
First Name:ARKAM
Middle Name:
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:PO BOX 919327
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32891-9327
Mailing Address - Country:US
Mailing Address - Phone:904-292-2700
Mailing Address - Fax:904-292-2666
Practice Address - Street 1:2021 KINGSLEY AVE
Practice Address - Street 2:SUITE 109
Practice Address - City:ORANGE PARK
Practice Address - State:FL
Practice Address - Zip Code:32073-5174
Practice Address - Country:US
Practice Address - Phone:904-292-2700
Practice Address - Fax:904-292-2666
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-14
Last Update Date:2014-10-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME840022081P2900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2081P2900XAllopathic & Osteopathic PhysiciansPhysical Medicine & RehabilitationPain Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL78976YMedicare PIN
FL5987360001Medicare NSC
G54001Medicare UPIN