Individual
DR. REHAN SHAFIQUE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3950 NEW COVINGTON PIKE, SUITE 300, MEMPHIS, TN 38128-2591
(901) 382-5256
(901) 382-3731
Mailing address
3950 NEW COVINGTON PIKE, SUITE 300, MEMPHIS, TN 38128-2591
(901) 382-5256
(901) 382-3731
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1031395661
MEDICARE PTAN
TN
Enumeration date
04/24/2007
Last updated
10/04/2011
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