Provider Demographics
NPI:1295179042
Name:ABDUL-KHABEER, RASHIDAH LORRAINE (RN, PHD)
Entity Type:Individual
Prefix:
First Name:RASHIDAH
Middle Name:LORRAINE
Last Name:ABDUL-KHABEER
Suffix:
Gender:F
Credentials:RN, PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6425 N CAMAC ST
Mailing Address - Street 2:
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19126-3644
Mailing Address - Country:US
Mailing Address - Phone:215-432-6691
Mailing Address - Fax:
Practice Address - Street 1:1700 MARKET ST
Practice Address - Street 2:SUITE 1800
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19103-3913
Practice Address - Country:US
Practice Address - Phone:216-985-2606
Practice Address - Fax:215-985-2646
Is Sole Proprietor?:Yes
Enumeration Date:2013-04-23
Last Update Date:2013-04-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA181815-L163WC1500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WC1500XNursing Service ProvidersRegistered NurseCommunity Health