DR. REHAN SHAFIQUE (NPI# 1851510143) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1851510143 |
| Entity Type | Individual |
| Full Name | DR. REHAN SHAFIQUE |
| Credential | M.D. |
| Practice Address |
3950 New Covington Pike Suite 300 Memphis TN 38128-2591 |
| Practice Telephone | 9013825256 |
| Practice Fax Number | 9013823731 |
| Mailing Telephone | 9013825256 |
| Mailing Fax Number | 9013823731 |
| Enumeration Date | 2007-04-24 |
| Last Update Date | 2011-10-04 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TN | MEDICARE PTAN | 1031395661 | 01 |
| Street Address |
3950 NEW COVINGTON PIKE SUITE 300 |
| City | MEMPHIS |
| State | TN |
| Zip Code | 38128-2591 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437148293 | Omar O Hamze | Specialist | 3950 New Covington Pike, Suite 300, Memphis, TN 38128-2591 | 2005-10-14 |
| 1942740014 | Nicholas William Marx | Nurse Practitioner | 3950 New Covington Pike, Suite 220, Memphis, TN 38128-2591 | 2017-03-08 |
| 1306394630 | Judiann Mcniff Jones | Psychologist | 3950 New Covington Pike, Memphis, TN 38128-2591 | 2016-09-15 |
| 1003205857 | Chastity H Heath | Registered Nurse | 3950 New Covington Pike, Suite 220, Memphis, TN 38128-2595 | 2015-01-16 |
| 1841538147 | Mark Abi Nader | Internal Medicine | 3950 New Covington Pike, Suite 300, Memphis, TN 38128 | 2013-01-21 |
| 1194022533 | Erin Empting Ortiz | Nurse Practitioner | 3950 New Covington Pike, 130, Memphis, TN 38128-2591 | 2011-02-22 |
| 1629370648 | North Memphis Medical Clinic | Clinic/Center | 3950 New Covington Pike, Suite # 130, Memphis, TN 38128-2591 | 2010-11-23 |
| 1962734988 | Karen Kimberley Reames | Nurse Practitioner | 3950 New Covington Pike, Suite 300, Memphis, TN 38128-2591 | 2010-02-01 |
| 1154585081 | Kidney Care Consultants, P.C. | Specialist | 3950 New Covington Pike, Suite 300, Memphis, TN 38128-2591 | 2008-07-10 |
| 1528239464 | Elizabeth White | Nurse Practitioner | 3950 New Covington Pike, Ste 300, Memphis, TN 38128-2591 | 2008-03-19 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518505775 | Available Home Care Service | Home Health | 3133 Kirkcaldy Rd, Memphis, TN 38128 | 2019-12-18 |
| 1912545690 | Sherry L. Russell | Technician | 4687 Priscilla Ave, Mmphis, TN 38128 | 2019-12-13 |
| 1518442318 | Genevieve Tempy Thomas | Counselor | 3900 Covington Pike, Suite 107, Memphis, TN 38128 | 2018-09-27 |
| 1487172037 | Right Care Home Health Agency | Home Health | 5116 Raleigh Lagrange Suite 5, Memphis, TN 38128 | 2017-09-05 |
| 1659744555 | Bio-medical Applications of Tennessee, Inc. | Clinic/Center | 5020 English Towne Drive, Memphis, TN 38128 | 2015-11-02 |
| 1184009649 | Linda Fay Williams | Nurse Practitioner | 3655 Haughton Lane #2, Memphis, TN 38128 | 2015-07-27 |
| 1194153528 | Jessica Rene Bush | Social Worker | 2922 Covington Pike, Memphis, TN 38128 | 2013-10-22 |
| 1013345685 | Frank Earl Madden Sr. | Non-emergency Medical Transport (VAN) | 4416 E. Hunters Glen St, Memphis, TN 38128 | 2013-10-17 |
| 1902230915 | Jonathan Jeu | Pharmacist | 3500 Ramill Road, Memphis, TN 38128 | 2013-08-27 |
| 1245662238 | D&s Residential Services, Lp | Intermediate Care Facility, Mentally Retarded | 3131 James Road, Memphis, TN 38128 | 2013-08-01 |
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| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386252013 | Rhaina Johnson | Student in an Organized Health Care Education/Training Program | 2639 Central Ave Apt V1, Memphis, TN 38104-5954 | 2020-07-20 |
| 1821606021 | Stephanie Bell | Student in an Organized Health Care Education/Training Program | 5091 Windcrest Rd, Memphis, TN 38116-8526 | 2020-07-14 |
| 1245857077 | Melissa Rodriguez Analco | Student in an Organized Health Care Education/Training Program | 4343 Emily Ave, Memphis, TN 38122-4822 | 2020-06-27 |
| 1316564321 | Piper Black | Student in an Organized Health Care Education/Training Program | Uthsc College of Nursing 920 Madison Avenue, Memphis, TN 38163-0001 | 2020-06-26 |
| 1225654726 | Karen Y Wilson | Student in an Organized Health Care Education/Training Program | The University of Tennessee Health Science Center, 920 Madison Ave., Memphis, TN 38163-4774 | 2020-06-19 |
| 1881216356 | Asif Jamal | Student in an Organized Health Care Education/Training Program | 865 Jefferson Ave Ste F150, Memphis, TN 38103-2807 | 2020-05-07 |
| 1992325468 | Zebin Mohammad Al Zebin | Student in an Organized Health Care Education/Training Program | 288 Night Sail Dr S Apt 107, Memphis, TN 38103-1724 | 2020-04-24 |
| 1922627637 | Krystal Lugo | Student in an Organized Health Care Education/Training Program | 3940 Summer Breeze Cv, Memphis, TN 38125-2840 | 2020-04-13 |
| 1336768092 | Preeti Singh | Student in an Organized Health Care Education/Training Program | 853 Jefferson Chandler F150, Memphis, TN 38163-0001 | 2020-04-13 |
| 1588283410 | Elizabeth Chandler Lee | Student in an Organized Health Care Education/Training Program | 545 Club Walk, Memphis, TN 38111-3200 | 2020-04-10 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.