Ehtesham, Rubina
Ehtesham, Rubina is an individual health care provider with primary practice located at 2400 N Rockton Ave , Rockford IL 61103-3655. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Hospitalist. Allopathic & Osteopathic Physicians / Internal Medicine is her primary health care specialty. Ehtesham, Rubina can be contacted via phone (815) 971-4025.Contact Information
Primary practice address
2400 N Rockton Ave
Rockford IL 61103-3655
Phone: (815) 971-4025
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 036103553 | Illinois |
Allopathic & Osteopathic Physicians / Hospitalist | 208M00000X | 036103553 | Illinois |
Profile Details
NPI number | 1962512152 |
---|---|
LBN Legal business name | Ehtesham, Rubina |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Aug 30th, 2006 |
Last updated | Feb 6th, 2024 - about 7 months ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1962512152 | NPPES |
Illinois | MEDICAID | 036103553 |
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