Healthcare Provider Details

I. General information

NPI: 1255035101
Provider Name (Legal Business Name): REHMAN ALI MEMON MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/27/2023
Last Update Date: 07/02/2026
Certification Date: 07/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2100 STANTONSBURG RD
GREENVILLE NC
27834-2818
US

IV. Provider business mailing address

2003 GREENWOOD OAKS DR
HOUSTON TX
77062-2306
US

V. Phone/Fax

Practice location:
  • Phone: 252-847-4268
  • Fax:
Mailing address:
  • Phone: 281-486-7344
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License NumberRTL26-1215
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: