Healthcare Provider Details

I. General information

NPI: 1922936327
Provider Name (Legal Business Name): WAJEEH UR REHMAN MBBS
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/13/2026
Last Update Date: 08/18/2026
Certification Date: 08/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

SAINT AGNES MEDICAL CENTRE 1303 E. HERNDON AVE
FRESNO CA
93720
US

IV. Provider business mailing address

SAINT AGNES MEDICAL CENTRE 1303 E. HERNDON AVE
FRESNO CA
93720
US

V. Phone/Fax

Practice location:
  • Phone: 559-450-3000
  • Fax:
Mailing address:
  • Phone: 559-450-3000
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: