Healthcare Provider Details

I. General information

NPI: 1487580973
Provider Name (Legal Business Name): SYEDA TAYYABA REHAN M.D
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/22/2026
Last Update Date: 09/06/2026
Certification Date: 09/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2500 NORTH STATE STREET, DEPARTMENT OF NEUROLOGY THE UNIVERSITY OF MISSISSIPPI MEDICAL CENTER
JACKSON MS
39216
US

IV. Provider business mailing address

2500 NORTH STATE STREET, DEPARTMENT OF NEUROLOGY THE UNIVERSITY OF MISSISSIPPI MEDICAL CENTER
JACKSON MS
39216
US

V. Phone/Fax

Practice location:
  • Phone: 601-815-9776
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084N0400X
TaxonomyNeurology Physician
License NumberT-5989
License Number StateMS

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: