Healthcare Provider Details

I. General information

NPI: 1942866736
Provider Name (Legal Business Name): OBAID REHMAN MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/16/2019
Last Update Date: 05/25/2026
Certification Date: 05/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1120 W MICHIGAN ST STE 285
INDIANAPOLIS IN
46202-5209
US

IV. Provider business mailing address

1120 W MICHIGAN ST STE 285
INDIANAPOLIS IN
46202-5209
US

V. Phone/Fax

Practice location:
  • Phone: 888-484-3258
  • Fax: 888-484-3258
Mailing address:
  • Phone: 888-484-3258
  • Fax: 888-484-3258

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RC0200X
TaxonomyCritical Care Medicine (Internal Medicine) Physician
License Number01098680A
License Number StateIN
# 2
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number91218
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: