Provider Demographics
NPI:1285074450
Name:REHMAN, UMAIR (MD)
Entity type:Individual
Prefix:
First Name:UMAIR
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 1:100 EVERGREEN SQ SW
Mailing Address - Street 2:
Mailing Address - City:PINE CITY
Mailing Address - State:MN
Mailing Address - Zip Code:55063-2000
Mailing Address - Country:US
Mailing Address - Phone:320-629-6721
Mailing Address - Fax:320-629-1097
Practice Address - Street 1:100 EVERGREEN SQ SW
Practice Address - Street 2:
Practice Address - City:PINE CITY
Practice Address - State:MN
Practice Address - Zip Code:55063-2000
Practice Address - Country:US
Practice Address - Phone:320-629-6721
Practice Address - Fax:320-629-1097
Is Sole Proprietor?:No
Enumeration Date:2013-07-02
Last Update Date:2016-08-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN59790207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine