1902187578 NPI number — MRS. AFREEN FATIMA RASHID D.D.S

Table of content: MRS. AFREEN FATIMA RASHID D.D.S (NPI 1902187578)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1902187578 NPI number — MRS. AFREEN FATIMA RASHID D.D.S

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
RASHID
Provider First Name:
AFREEN
Provider Middle Name:
FATIMA
Provider Name Prefix Text:
MRS.
Provider Name Suffix Text:
Provider Credential Text:
D.D.S
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
MOHIUDDIN
Provider Other First Name:
AFREEN
Provider Other Middle Name:
FATIMA
Provider Other Name Prefix Text:
MISS
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:
1

NPI Number Information

NPI Number:
1902187578
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
09/08/2011
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
1000 GRAND CANYON PKWY
Provider Second Line Business Mailing Address:
SUITE 209
Provider Business Mailing Address City Name:
HOFFMAN ESTATES
Provider Business Mailing Address State Name:
IL
Provider Business Mailing Address Postal Code:
60169-1705
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
847-310-9816
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1000 GRAND CANYON PKWY
Provider Second Line Business Practice Location Address:
SUITE 209
Provider Business Practice Location Address City Name:
HOFFMAN ESTATES
Provider Business Practice Location Address State Name:
IL
Provider Business Practice Location Address Postal Code:
60169-1705
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
847-310-9816
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
09/08/2011

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: 122300000X , with the licence number:  019.028753 , registered in the state of IL ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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





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