MEDICARE: DR. OBEIDURAHMAN FAIZ REHMANI 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	2084N0400X	Neurology Physician	MD0000053536	TN
2	2084N0400X	Neurology Physician	T8435	TX

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

General Provider Information

NPI Number	:	1619275963
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. OBEIDURAHMAN FAIZ REHMANI M.D.

Provider Business Mailing Address
First Line	:	103 W BROADWAY AVE
Second Line	:
City	:	MARYVILLE
State	:	TN
Zip	:	37801-4703
Country	:	US
Telephone Number	:	865-273-1752
Fax Number	:	865-273-1755

Provider Business Practice Location Address
First Line	:	1600 COIT RD STE 208
Second Line	:
City	:	PLANO
State	:	TX
Zip	:	75075-6172
Country	:	US
Telephone Number	:	903-893-5141
Fax Number	:	903-861-4295

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

Provider Enumeration Date	:	03/10/2011
Last Update Date	:	01/02/2025

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