Provider Demographics
NPI: | 1437144029 |
---|---|
Name: | RASHEED, HUSAIN A (MD) |
Entity Type: | Individual |
Prefix: | DR |
First Name: | HUSAIN |
Middle Name: | A |
Last Name: | RASHEED |
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: | 1330 COSHOCTON AVE |
Mailing Address - Street 2: | |
Mailing Address - City: | MOUNT VERNON |
Mailing Address - State: | OH |
Mailing Address - Zip Code: | 43050-1440 |
Mailing Address - Country: | US |
Mailing Address - Phone: | 740-393-9000 |
Mailing Address - Fax: | 740-392-0167 |
Practice Address - Street 1: | 1451 YAUGER RD |
Practice Address - Street 2: | GROUND FLOOR |
Practice Address - City: | MOUNT VERNON |
Practice Address - State: | OH |
Practice Address - Zip Code: | 43050-8097 |
Practice Address - Country: | US |
Practice Address - Phone: | 740-393-5551 |
Practice Address - Fax: | 740-393-5581 |
Is Sole Proprietor?: | No |
Enumeration Date: | 2005-09-20 |
Last Update Date: | 2021-02-23 |
Deactivation Date: | |
Deactivation Code: | |
Reactivation Date: |
Provider Licenses
State | License ID | Taxonomies |
---|---|---|
OH | 35-084060-R | 174400000X |
OH | 35.08406 | 207RH0003X |
Provider Taxonomies
Primary? | Code | Type | Classification | Specialization |
---|---|---|---|---|
Yes | 207RH0003X | Allopathic & Osteopathic Physicians | Internal Medicine | Hematology & Oncology |
No | 174400000X | Other Service Providers | Specialist |
Provider Identifiers
State | Identifier ID | ID Type | Issuer |
---|---|---|---|
OH | RA4128082 | Medicare PIN | |
H44409 | Medicare UPIN | ||
OH | RA4128083 | Medicare PIN |