MEDICARE: SYED MASEEHUR REHMAN MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207K00000X	Allergy & Immunology Physician	35070139R	OH
2	207K00000X	Allergy & Immunology Physician	4301069146	MI
3	207K00000X	Allergy & Immunology Physician	35071039	OH

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1699775437
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SYED MASEEHUR REHMAN MD

Provider Business Mailing Address
First Line	:	7247 W CENTRAL AVE
Second Line	:	SUITE A
City	:	TOLEDO
State	:	OH
Zip	:	43617
Country	:	US
Telephone Number	:	419-843-8815
Fax Number	:	419-843-8816

Provider Business Practice Location Address
First Line	:	7247 W CENTRAL AVE
Second Line	:	SUITE A
City	:	TOLEDO
State	:	OH
Zip	:	43617-1177
Country	:	US
Telephone Number	:	419-843-8815
Fax Number	:	419-843-8816

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/22/2005
Last Update Date	:	12/11/2009

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