Provider Demographics
NPI:1144201880
Name:MEDICURE INTERNISTS PC
Entity Type:Organization
Organization Name:MEDICURE INTERNISTS PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PHYSICIAN
Authorized Official - Prefix:DR
Authorized Official - First Name:SHABANA
Authorized Official - Middle Name:
Authorized Official - Last Name:RASHEED
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:313-443-6027
Mailing Address - Street 1:24060 W 9 MILE RD
Mailing Address - Street 2:
Mailing Address - City:SOUTHFIELD
Mailing Address - State:MI
Mailing Address - Zip Code:48033-3904
Mailing Address - Country:US
Mailing Address - Phone:313-443-6027
Mailing Address - Fax:313-241-9401
Practice Address - Street 1:24060 W 9 MILE RD
Practice Address - Street 2:
Practice Address - City:SOUTHFIELD
Practice Address - State:MI
Practice Address - Zip Code:48033-3904
Practice Address - Country:US
Practice Address - Phone:313-443-6027
Practice Address - Fax:313-241-9401
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-11-09
Last Update Date:2023-10-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4301064947207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI017019OtherMIDWEST HEALTH PLAN
MI11362OtherMOLINA
MI6241OtherTOTAL HEALTH
MI122007OtherGREAT LAKES
MI4578125-10Medicaid
MI110H201950OtherBCBC BCN
MI1861473209Medicaid
MIDB8216OtherRAILROAD MEDICARE
MIG64166OtherHAP
MI1861473209Medicaid
MI0N86980Medicare PIN