1275737744 NPI number — MRS. KHURRAM RASHID M.D.

Table of content: MRS. KHURRAM RASHID M.D. (NPI 1275737744)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1275737744 NPI number — MRS. KHURRAM RASHID M.D.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
RASHID
Provider First Name:
KHURRAM
Provider Middle Name:
Provider Name Prefix Text:
MRS.
Provider Name Suffix Text:
Provider Credential Text:
M.D.
Provider Gender Code:
M

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1275737744
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
10/25/2007
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
36175 HARPER AVE
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
CLINTON TOWNSHIP
Provider Business Mailing Address State Name:
MI
Provider Business Mailing Address Postal Code:
48035-3274
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
586-741-3772
Provider Business Mailing Address Fax Number:
586-741-4604

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
36175 HARPER AVE
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
CLINTON TOWNSHIP
Provider Business Practice Location Address State Name:
MI
Provider Business Practice Location Address Postal Code:
48035-3274
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
586-741-3772
Provider Business Practice Location Address Fax Number:
586-741-4604
Provider Enumeration Date:
06/11/2007

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 207UN0903X , with the licence number:  4301090345 , registered in the state of MI ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 0Q26008 . This is a "BCBS OF MICHIGAN" identifier , issued by the state of ( MI ) . This identifiers is of the category "OTHER".
  • Identifier: 1006439 . This is a "MCCLAREN" identifier , issued by the state of ( MI ) . This identifiers is of the category "OTHER".
  • Identifier: 495680 . This is a "HAP" identifier , issued by the state of ( MI ) . This identifiers is of the category "OTHER".
  • Identifier: SJ820005 . This is a "MCARE" identifier , issued by the state of ( MI ) . This identifiers is of the category "OTHER".
  • Identifier: 1111920004 . This is a "WELLNESS PLAN" identifier , issued by the state of ( MI ) . This identifiers is of the category "OTHER".
  • Identifier: 0Q26008 . This is a "BLUE CARE NETWORK OF MICH" identifier , issued by the state of ( MI ) . This identifiers is of the category "OTHER".
  • Identifier: 5182739 , issued by the state of ( MI ) . This identifiers is of the category "MEDICAID".
  • Identifier: Q26008073 . This is a "RR MEDICARE" identifier . This identifiers is of the category "OTHER".




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