MEDICARE: SAADIA R REHMAN D.O.

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	207R00000X	Internal Medicine Physician	25MB07807300	NJ
2	207R00000X	Internal Medicine Physician	OS014014	PA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier Issuer
1	1502540	OTHER	AETNA
2	2836116000	OTHER	AMERIHEALTH HMO, PPO, KEYSTONE
3	44650	OTHER	UNIVERSITY HEALTHPLAN
4	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
5	012278311	OTHER	AMERICHOICE
6	60033818	OTHER	HORIZON NJ HEALTH
7	2316488	OTHER	UNITED HEALTHCARE
8	3K7603	OTHER	HEALTHNET
9	8718432	OTHER	CIGNA
10	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1316921414
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SAADIA R REHMAN D.O.

Provider Business Mailing Address
First Line	:	301 LIPPINCOTT DR STE 410
Second Line	:
City	:	MARLTON
State	:	NJ
Zip	:	08053-4197
Country	:	US
Telephone Number	:	856-355-0340
Fax Number	:	856-355-0330

Provider Business Practice Location Address
First Line	:	19 W MAIN ST STE C
Second Line	:
City	:	MAPLE SHADE
State	:	NJ
Zip	:	08052-2411
Country	:	US
Telephone Number	:	856-779-7386
Fax Number	:	856-779-7563

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

Provider Enumeration Date	:	12/01/2005
Last Update Date	:	10/18/2020

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Directions to “ SAADIA R REHMAN D.O.” Practice Location

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