Provider Demographics
NPI:1538252374
Name:REHMAN, QAISER (MD)
Entity type:Individual
Prefix:
First Name:QAISER
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 1:11307 FM 1960 RD W
Mailing Address - Street 2:SUITE 240
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77065-3687
Mailing Address - Country:US
Mailing Address - Phone:832-237-8585
Mailing Address - Fax:832-237-6565
Practice Address - Street 1:11307 FM 1960 RD W
Practice Address - Street 2:SUITE 240
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77065-3687
Practice Address - Country:US
Practice Address - Phone:832-237-8585
Practice Address - Fax:832-237-6565
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-02
Last Update Date:2015-09-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXM3370207RR0500X, 207RR0500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RR0500XAllopathic & Osteopathic PhysiciansInternal MedicineRheumatologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX0075PCOtherBCBSTX GROUP
TX8X1420OtherBCBSTX INDIVIDUAL
KS101520Medicare ID - Type UnspecifiedMEDICARE
KS100642120AMedicaid
KS101520OtherBCBS
TX8X1420OtherBCBSTX INDIVIDUAL