MEDICARE: SHAFIQ U 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	207RC0000X	Cardiovascular Disease Physician	242342	NY
2	207RI0011X	Interventional Cardiology Physician	242342	NY

General Provider Information

NPI Number	:	1750509675
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SHAFIQ U REHMAN M.D

Provider Business Mailing Address
First Line	:	1211 AVENUE I
Second Line	:	BROOKLYN
City	:	BROOKLYN
State	:	NY
Zip	:	11230-2909
Country	:	US
Telephone Number	:	347-342-8189
Fax Number	:	718-709-8862

Provider Business Practice Location Address
First Line	:	1211 AVENUE I
Second Line	:	BROOKLYN
City	:	BROOKLYN
State	:	NY
Zip	:	11230-2909
Country	:	US
Telephone Number	:	347-342-8189
Fax Number	:	718-709-8862

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

Provider Enumeration Date	:	04/23/2007
Last Update Date	:	09/07/2023

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Directions to “ SHAFIQ U REHMAN M.D” Practice Location

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