Provider Demographics
NPI:1184019507
Name:SHELTON, RASHAD KAREEM (DPM)
Entity Type:Individual
Prefix:DR
First Name:RASHAD
Middle Name:KAREEM
Last Name:SHELTON
Suffix:
Gender:M
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2 STOWE RD STE 6
Mailing Address - Street 2:
Mailing Address - City:PEEKSKILL
Mailing Address - State:NY
Mailing Address - Zip Code:10566-2582
Mailing Address - Country:US
Mailing Address - Phone:914-737-5416
Mailing Address - Fax:914-737-5935
Practice Address - Street 1:2 STOWE RD STE 6
Practice Address - Street 2:
Practice Address - City:PEEKSKILL
Practice Address - State:NY
Practice Address - Zip Code:10566-2582
Practice Address - Country:US
Practice Address - Phone:914-737-5416
Practice Address - Fax:914-737-5935
Is Sole Proprietor?:Yes
Enumeration Date:2015-04-02
Last Update Date:2019-11-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
390200000X
NYN006930-1213ES0103X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle Surgery
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program