Healthcare Provider Details

I. General information

NPI: 1053370346
Provider Name (Legal Business Name): REHANA SAQUIB MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: REHANA AKHTER

II. Dates (important events)

Enumeration Date: 03/23/2006
Last Update Date: 05/08/2024
Certification Date: 05/08/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4510 MEDICAL CENTER DR STE 210
MCKINNEY TX
75069-1602
US

IV. Provider business mailing address

1505 LBJ FWY STE 700
DALLAS TX
75234-6065
US

V. Phone/Fax

Practice location:
  • Phone: 214-358-2300
  • Fax: 972-599-2090
Mailing address:
  • Phone: 214-358-2300
  • Fax: 214-579-6941

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RN0300X
TaxonomyNephrology Physician
License NumberL9889
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: