Healthcare Provider Details

I. General information

NPI: 1265634158
Provider Name (Legal Business Name): AASIM REHMAN M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/03/2007
Last Update Date: 07/21/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2525 MAPLE AVENUE SUITE 1
ZANESVILLE OH
43701
US

IV. Provider business mailing address

2525 MAPLE AVENUE SUITE 1
ZANESVILLE OH
43701
US

V. Phone/Fax

Practice location:
  • Phone: 740-453-6554
  • Fax: 740-464-4210
Mailing address:
  • Phone: 740-453-6554
  • Fax: 740-464-4210

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number2005019385
License Number StateMO
# 2
Primary TaxonomyY
Taxonomy Code207RR0500X
TaxonomyRheumatology Physician
License Number35095543
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: