Provider Demographics
NPI:1235449018
Name:ABDELWAHED, RASHA H
Entity Type:Individual
Prefix:MRS
First Name:RASHA
Middle Name:H
Last Name:ABDELWAHED
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5090 FOOTHILLS BLVD
Mailing Address - Street 2:
Mailing Address - City:ROSEVILLE
Mailing Address - State:CA
Mailing Address - Zip Code:95747-6517
Mailing Address - Country:US
Mailing Address - Phone:916-783-1355
Mailing Address - Fax:916-783-1360
Practice Address - Street 1:5090 FOOTHILLS BLVD
Practice Address - Street 2:
Practice Address - City:ROSEVILLE
Practice Address - State:CA
Practice Address - Zip Code:95747-6517
Practice Address - Country:US
Practice Address - Phone:916-783-1533
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-10-14
Last Update Date:2020-06-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY055586183500000X
NJ28RI3178400183500000X
CA76890183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist