Provider Demographics
NPI:1992813190
Name:REHMAN, ASIF M (MD)
Entity type:Individual
Prefix:
First Name:ASIF
Middle Name:M
Last Name:REHMAN
Suffix:
Gender:M
Credentials:MD
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:PO BOX 1031
Mailing Address - Street 2:
Mailing Address - City:PORT WASHINGTON
Mailing Address - State:NY
Mailing Address - Zip Code:11050-1031
Mailing Address - Country:US
Mailing Address - Phone:516-414-3041
Mailing Address - Fax:516-365-2648
Practice Address - Street 1:100 PORT WASHINGTON BLVD
Practice Address - Street 2:
Practice Address - City:ROSLYN
Practice Address - State:NY
Practice Address - Zip Code:11576-1353
Practice Address - Country:US
Practice Address - Phone:516-414-3041
Practice Address - Fax:516-365-2648
Is Sole Proprietor?:No
Enumeration Date:2006-08-28
Last Update Date:2023-01-24
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CT073164207RC0000X
NY193869207RI0011X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RI0011XAllopathic & Osteopathic PhysiciansInternal MedicineInterventional Cardiology
No207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY01771604Medicaid
NY01771604Medicaid
NYA400022883Medicare PIN
NYF92509Medicare UPIN