Provider Demographics
NPI:1306842091
Name:AHMAD, RASHID (MD)
Entity Type:Individual
Prefix:DR
First Name:RASHID
Middle Name:
Last Name:AHMAD
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 1:6024 WESTFIELD AVE
Mailing Address - Street 2:
Mailing Address - City:PENNSAUKEN
Mailing Address - State:NJ
Mailing Address - Zip Code:08110-1720
Mailing Address - Country:US
Mailing Address - Phone:856-663-1122
Mailing Address - Fax:856-663-2710
Practice Address - Street 1:6024 WESTFIELD AVE
Practice Address - Street 2:
Practice Address - City:PENNSAUKEN
Practice Address - State:NJ
Practice Address - Zip Code:08110-1720
Practice Address - Country:US
Practice Address - Phone:856-663-1122
Practice Address - Fax:856-663-2710
Is Sole Proprietor?:Yes
Enumeration Date:2005-06-27
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJMA37577207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ1257307Medicaid
NJAH420077Medicare ID - Type Unspecified
NJ1257307Medicaid