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: 06/22/2026
Certification Date:
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 Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: