Provider Demographics
NPI:1568462539
Name:REHMAN, SYED SHAFIQUR (MD)
Entity type:Individual
Prefix:DR
First Name:SYED
Middle Name:SHAFIQUR
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 1:1750 9TH AVE
Mailing Address - Street 2:SUITE 201
Mailing Address - City:PORT ARTHUR
Mailing Address - State:TX
Mailing Address - Zip Code:77642-3600
Mailing Address - Country:US
Mailing Address - Phone:409-985-6657
Mailing Address - Fax:409-982-7805
Practice Address - Street 1:1750 9TH AVE
Practice Address - Street 2:SUITE 201
Practice Address - City:PORT ARTHUR
Practice Address - State:TX
Practice Address - Zip Code:77642-3600
Practice Address - Country:US
Practice Address - Phone:409-985-6657
Practice Address - Fax:409-982-7805
Is Sole Proprietor?:No
Enumeration Date:2005-07-29
Last Update Date:2022-08-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXL6598207RN0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX1376543074OtherSOUTHEAST TEXAS NEPHROLOGY ASSOCIATES, PA NPI
TX158027601Medicaid
TX1376543074OtherSOUTHEAST TEXAS NEPHROLOGY ASSOCIATES, PA NPI
TX158027601Medicaid