Basic Information
| Provider Information | |||||||||
| NPI: | 1144480054 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | REHAN IFTIKHAR PLLC | ||||||||
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| Mailing Information | |||||||||
| Address1: | PO BOX 43160 | ||||||||
| Address2: | |||||||||
| City: | TUCSON | ||||||||
| State: | AZ | ||||||||
| PostalCode: | 857333160 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5207223777 | ||||||||
| FaxNumber: | 5202966224 | ||||||||
| Practice Location | |||||||||
| Address1: | 395 N SILVERBELL RD | ||||||||
| Address2: | SUITE 255 | ||||||||
| City: | TUCSON | ||||||||
| State: | AZ | ||||||||
| PostalCode: | 857452675 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5206244342 | ||||||||
| FaxNumber: | 5206244337 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 06/13/2008 | ||||||||
| LastUpdateDate: | 12/04/2013 | ||||||||
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| AuthorizedOfficialLastName: | IFTIKHAR | ||||||||
| AuthorizedOfficialFirstName: | REHAN | ||||||||
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| AuthorizedOfficialTitleorPosition: | OWNER OF PRACTICE | ||||||||
| AuthorizedOfficialTelephone: | 5207223777 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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| AuthorizedOfficialCredential: | MD | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207RG0100X | Y | 193400000X SINGLE SPECIALTY GROUP | Allopathic & Osteopathic Physicians | Internal Medicine | Gastroenterology |
No ID Information.