Provider Demographics
NPI:1407587074
Name:RASHAD, ANDREA RENEE (MD)
Entity Type:Individual
Prefix:
First Name:ANDREA
Middle Name:RENEE
Last Name:RASHAD
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:16008 RAVINE DR
Mailing Address - Street 2:
Mailing Address - City:EAST CLEVELAND
Mailing Address - State:OH
Mailing Address - Zip Code:44112-2220
Mailing Address - Country:US
Mailing Address - Phone:216-374-1877
Mailing Address - Fax:
Practice Address - Street 1:16008 RAVINE DR
Practice Address - Street 2:
Practice Address - City:EAST CLEVELAND
Practice Address - State:OH
Practice Address - Zip Code:44112-2220
Practice Address - Country:US
Practice Address - Phone:216-374-1877
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-06-23
Last Update Date:2022-06-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes374U00000XNursing Service Related ProvidersHome Health AideGroup - Multi-Specialty