Individual
MATLOOB UR REHMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
52579 HIGHWAY 51 S, INDEPENDENCE, LA 70443-2231
(985) 878-9421
(985) 878-1285
Mailing address
1310 ANDORRA LN, COVINGTON, LA 70433-4545
(985) 809-6963
(985) 876-1489
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD199980
LA
207RN0300X
Nephrology Physician
MD199980
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00124874
—
MS
05
—
1476421
—
LA
Enumeration date
09/19/2005
Last updated
02/08/2010
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