=====================================================
General NPI Number Information
=====================================================
NPI Number | 1922171412
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | ARSHAD REHAN MD
-----------------------------------------------------
Gender | Male
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 11/15/2006
-----------------------------------------------------
Last Update Date | 02/02/2022
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 400 MATTHEW ST STE 302
-----------------------------------------------------
City | MARIETTA
-----------------------------------------------------
State | OH
-----------------------------------------------------
Zip | 45750-1656
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 740-568-5207
-----------------------------------------------------
Fax | 740-568-5297
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 416 COLEGATE DR BLDG 3
-----------------------------------------------------
City | MARIETTA
-----------------------------------------------------
State | OH
-----------------------------------------------------
Zip | 45750-9549
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 740-568-4814
-----------------------------------------------------
Fax | 740-374-3165
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 207RC0000X
-----------------------------------------------------
Taxonomy Name | Cardiovascular Disease Physician
-----------------------------------------------------
License Number | 35-088534
-----------------------------------------------------
License Number State | OH
-----------------------------------------------------
Taxonomy #2
-----------------------------------------------------
Taxonomy Code | 207RI0011X
-----------------------------------------------------
Taxonomy Name | Interventional Cardiology Physician
-----------------------------------------------------
License Number | 35.088534
-----------------------------------------------------
License Number State | OH
-----------------------------------------------------