Individual
REHANA S. BAQAI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
260 E ONTARIO AVE, SUITE # 101, CORONA, CA 92879-3506
(951) 371-2411
(951) 284-0177
Mailing address
18111 BROOKHURST ST, SUITE # 6100, FOUNTAIN VALLEY, CA 92708-6728
(714) 698-0300
(714) 698-0313
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
A48182
CA
207RH0003X
Hematology & Oncology Physician
Primary
A48182
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GR0093940
—
CA
05
—
GR0093941
—
CA
05
—
GR0093942
—
CA
01
—
ZZZ05039Z
BLUE SHIELD
—
01
—
ZZZ05040Z
BLUE SHEILD
—
01
—
ZZZ64478Z
BLUE SHIELD
—
Enumeration date
05/25/2006
Last updated
09/21/2023
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