Provider Demographics
NPI:1194017855
Name:TASHMAN, RA'AD (MD)
Entity Type:Individual
Prefix:DR
First Name:RA'AD
Middle Name:
Last Name:TASHMAN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:180 W MARKET ST APT 634
Mailing Address - Street 2:HENRY FORD HOSPITAL
Mailing Address - City:NEWARK
Mailing Address - State:NJ
Mailing Address - Zip Code:07103-2787
Mailing Address - Country:US
Mailing Address - Phone:415-690-5259
Mailing Address - Fax:
Practice Address - Street 1:180 W MARKET ST APT 634
Practice Address - Street 2:UNIVERSITY HOSPITAL- RUTGERS UNIVERSITY
Practice Address - City:NEWARK
Practice Address - State:NJ
Practice Address - Zip Code:07103-2787
Practice Address - Country:US
Practice Address - Phone:415-690-5259
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-05-12
Last Update Date:2021-12-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4301 098 121207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine