1760448468 NPI number — DR. MAMOON A RASHEED MD

Table of Contents

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1760448468 NPI number — DR. MAMOON A RASHEED MD

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
RASHEED
Provider First Name:
MAMOON
Provider Middle Name:
A
Provider Name Prefix Text:
DR.
Provider Name Suffix Text:
Provider Credential Text:
MD
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:
1760448468
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
12/09/2025
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
828 W MAIN ST
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
MT PLEASANT
Provider Business Mailing Address State Name:
PA
Provider Business Mailing Address Postal Code:
15666-1730
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
724-547-4441
Provider Business Mailing Address Fax Number:
724-547-4311

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
30 HEMPSTEAD AVENUE
Provider Second Line Business Practice Location Address:
SUITE 144
Provider Business Practice Location Address City Name:
ROCKVILLE CENTRE
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
11570
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
516-490-9060
Provider Business Practice Location Address Fax Number:
516-200-3020
Provider Enumeration Date:
04/22/2006

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: 207R00000X , with the licence number:  MD055855L , registered in the state of PA ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 207R00000X , with the licence number: 307641 , registered in the state of NY ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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

  • Identifier: 0015601090005 , issued by the state of ( PA ) . This identifiers is of the category "MEDICAID".




Copyright © 2007-2026 www.npivalidator.com