Provider Demographics
NPI:1245400928
Name:LINDSEY, RAHSAAN LATEEF (MD)
Entity Type:Individual
Prefix:DR
First Name:RAHSAAN
Middle Name:LATEEF
Last Name:LINDSEY
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 814
Mailing Address - Street 2:
Mailing Address - City:BROOKLANDVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:21022-0814
Mailing Address - Country:US
Mailing Address - Phone:443-310-2073
Mailing Address - Fax:410-823-0556
Practice Address - Street 1:6565 N CHARLES ST
Practice Address - Street 2:PPE, SUITE 211
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21204-6800
Practice Address - Country:US
Practice Address - Phone:443-310-2073
Practice Address - Fax:410-823-0556
Is Sole Proprietor?:Yes
Enumeration Date:2008-03-10
Last Update Date:2011-09-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD00594492084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD401299200Medicaid
MD401299200Medicaid
H85681Medicare UPIN