Provider Demographics
NPI:1003138058
Name:RASHID, IJAZ (MD)
Entity Type:Individual
Prefix:
First Name:IJAZ
Middle Name:
Last Name:RASHID
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:17 LANSING ST
Mailing Address - Street 2:AMMS, PC
Mailing Address - City:AUBURN
Mailing Address - State:NY
Mailing Address - Zip Code:13021-1983
Mailing Address - Country:US
Mailing Address - Phone:315-255-7438
Mailing Address - Fax:315-255-7099
Practice Address - Street 1:77 NELSON ST
Practice Address - Street 2:SUITE #120
Practice Address - City:AUBURN
Practice Address - State:NY
Practice Address - Zip Code:13021-1944
Practice Address - Country:US
Practice Address - Phone:315-252-7434
Practice Address - Fax:315-253-8104
Is Sole Proprietor?:No
Enumeration Date:2010-02-18
Last Update Date:2011-07-29
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NY2562162084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY03218375Medicaid
NY03218375Medicaid