Provider Demographics
NPI:1770764201
Name:REHMAN, ATAUR (MD)
Entity type:Individual
Prefix:
First Name:ATAUR
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 1:901 LEIGHTON AVE STE 704
Mailing Address - Street 2:
Mailing Address - City:ANNISTON
Mailing Address - State:AL
Mailing Address - Zip Code:36207-5721
Mailing Address - Country:US
Mailing Address - Phone:256-240-7332
Mailing Address - Fax:256-240-7334
Practice Address - Street 1:901 LEIGHTON AVE STE 704
Practice Address - Street 2:
Practice Address - City:ANNISTON
Practice Address - State:AL
Practice Address - Zip Code:36207
Practice Address - Country:US
Practice Address - Phone:256-240-7332
Practice Address - Fax:256-240-7334
Is Sole Proprietor?:No
Enumeration Date:2007-11-27
Last Update Date:2019-02-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL28235207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL51545495OtherBLUE CROSS BLUE SHIELD
AL102389Medicaid
AL009913761Medicaid
AL51546945OtherBLUE CROSS BLUE SHIELD
AL102389Medicaid