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General NPI Number Information
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NPI Number | 1952899767
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Entity Type | Individual
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Provider Name | MEHBOOB AHMED REHAN MD
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Gender | Male
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Dates
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Enumeration Date | 04/26/2018
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Last Update Date | 10/31/2025
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Provider Practice Location Address
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Address Line | 501 MIDWESTERN PKWY E
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City | WICHITA FALLS
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State | TX
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Zip | 76302-2302
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Country | US
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Telephone | 940-488-4539
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Fax | 940-239-9906
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Provider Business Mailing Address
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Address Line | 5140 CATHEDRAL LN
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City | WICHITA FALLS
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State | TX
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Zip | 76310-1490
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Country | US
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Telephone | 337-470-6498
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Fax | 225-765-9196
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RI0200X
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Taxonomy Name | Infectious Disease Physician
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License Number | 345095
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License Number State | LA
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Taxonomy #2
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Taxonomy Code | 207RI0200X
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Taxonomy Name | Infectious Disease Physician
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License Number | U4911
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License Number State | TX
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Taxonomy #3
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Taxonomy Code | 207RI0200X
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Taxonomy Name | Infectious Disease Physician
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License Number | 21872
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License Number State | ND
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Taxonomy #4
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Taxonomy Code | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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License Number State |
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