Provider Demographics
NPI:1376608620
Name:ABASSI, RASHEED ADEDAPO (MD)
Entity Type:Individual
Prefix:
First Name:RASHEED
Middle Name:ADEDAPO
Last Name:ABASSI
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 1:9135 PISCATAWAY RD
Mailing Address - Street 2:SUITE 210
Mailing Address - City:CLINTON
Mailing Address - State:MD
Mailing Address - Zip Code:20735-2549
Mailing Address - Country:US
Mailing Address - Phone:301-868-2555
Mailing Address - Fax:301-868-2933
Practice Address - Street 1:9135 PISCATAWAY RD
Practice Address - Street 2:SUITE 210
Practice Address - City:CLINTON
Practice Address - State:MD
Practice Address - Zip Code:20735-2549
Practice Address - Country:US
Practice Address - Phone:301-868-1380
Practice Address - Fax:304-868-4514
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-27
Last Update Date:2013-04-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD65329207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD051031901Medicaid
MD898864-01OtherBLUE CROSS/BLUE SHIELD
MDS062-0165OtherBC/BS REGIONAL
MDS062-0165OtherBC/BS REGIONAL
MDP00608486Medicare PIN