MEDICARE: ELENA TERESA REHL MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	208600000X	Surgery Physician	070415	GA
2	208600000X	Surgery Physician	MD48118	TN
3	2086X0206X	Surgical Oncology Physician	MD48118	TN
4	2086X0206X	Surgical Oncology Physician	070415	GA
5	2086X0206X	Surgical Oncology Physician	ME138898	FL

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
3	P01199006	OTHER	GA	RAILROAD MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
5	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1154494912
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ELENA TERESA REHL MD

Provider Business Mailing Address
First Line	:	4700 WATERS AVE STE 405
Second Line	:
City	:	SAVANNAH
State	:	GA
Zip	:	31404-6220
Country	:	US
Telephone Number	:	912-350-2700
Fax Number	:	912-350-2715

Provider Business Practice Location Address
First Line	:	1411 N FLAGLER DR STE 5000
Second Line	:
City	:	WEST PALM BEACH
State	:	FL
Zip	:	33401-3410
Country	:	US
Telephone Number	:	561-655-6622
Fax Number	:	561-655-6623

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/17/2006
Last Update Date	:	11/27/2019

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Directions to “ ELENA TERESA REHL MD” Practice Location

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