MEDICARE: MR. KHURRAM SHAMIM REHMAN M.D.

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	207VE0102X	Reproductive Endocrinology Physician	25221	NV
2	207VE0102X	Reproductive Endocrinology Physician	13814381-1205	UT

General Provider Information

NPI Number	:	1316096811
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. KHURRAM SHAMIM REHMAN M.D.

Provider Business Mailing Address
First Line	:	5320 S RAINBOW BLVD
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89118-1895
Country	:	US
Telephone Number	:	702-935-4936
Fax Number	:	702-892-9666

Provider Business Practice Location Address
First Line	:	5320 S RAINBOW BLVD
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89118-1895
Country	:	US
Telephone Number	:	702-935-4936
Fax Number	:	702-892-9666

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

Provider Enumeration Date	:	01/10/2007
Last Update Date	:	02/27/2024

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