Provider Demographics
NPI:1316921414
Name:REHMAN, SAADIA R (DO)
Entity type:Individual
Prefix:
First Name:SAADIA
Middle Name:R
Last Name:REHMAN
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:301 LIPPINCOTT DR STE 410
Mailing Address - Street 2:
Mailing Address - City:MARLTON
Mailing Address - State:NJ
Mailing Address - Zip Code:08053-4197
Mailing Address - Country:US
Mailing Address - Phone:856-355-0340
Mailing Address - Fax:856-355-0330
Practice Address - Street 1:19 W MAIN ST STE C
Practice Address - Street 2:
Practice Address - City:MAPLE SHADE
Practice Address - State:NJ
Practice Address - Zip Code:08052-2411
Practice Address - Country:US
Practice Address - Phone:856-779-7386
Practice Address - Fax:856-779-7563
Is Sole Proprietor?:No
Enumeration Date:2005-12-01
Last Update Date:2020-10-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MB07807300207R00000X
PAOS014014207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
1502540OtherAETNA
2836116000OtherAMERIHEALTH HMO, PPO, KEYSTONE
44650OtherUNIVERSITY HEALTHPLAN
NJ0128996Medicaid
012278311OtherAMERICHOICE
60033818OtherHORIZON NJ HEALTH
2316488OtherUNITED HEALTHCARE
3K7603OtherHEALTHNET
8718432OtherCIGNA
NY02411714Medicaid
2316488OtherUNITED HEALTHCARE
NJ0128996Medicaid