Provider Demographics
NPI:1528052982
Name:REHMAN, ATTA (MD)
Entity type:Individual
Prefix:
First Name:ATTA
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 1:19255 PARK ROW
Mailing Address - Street 2:STE 101
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77084-7309
Mailing Address - Country:US
Mailing Address - Phone:281-816-6455
Mailing Address - Fax:281-914-4361
Practice Address - Street 1:19255 PARK ROW
Practice Address - Street 2:STE 101
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77084-7309
Practice Address - Country:US
Practice Address - Phone:281-816-6455
Practice Address - Fax:281-914-4361
Is Sole Proprietor?:No
Enumeration Date:2005-08-31
Last Update Date:2025-02-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NM2001862084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NMK1326Medicaid
NMK1326Medicaid