Provider Demographics
NPI:1437150109
Name:RASHID, AHMAD (MD)
Entity Type:Individual
Prefix:DR
First Name:AHMAD
Middle Name:
Last Name:RASHID
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 1:2215 NEBRASKA AVE
Mailing Address - Street 2:SUITE 2E
Mailing Address - City:FORT PIERCE
Mailing Address - State:FL
Mailing Address - Zip Code:34950-4864
Mailing Address - Country:US
Mailing Address - Phone:772-461-6812
Mailing Address - Fax:772-461-6816
Practice Address - Street 1:2215 NEBRASKA AVE
Practice Address - Street 2:SUITE 2E
Practice Address - City:FORT PIERCE
Practice Address - State:FL
Practice Address - Zip Code:34950-4864
Practice Address - Country:US
Practice Address - Phone:772-461-6812
Practice Address - Fax:772-461-6816
Is Sole Proprietor?:No
Enumeration Date:2005-08-03
Last Update Date:2013-02-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME25247207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL062998471OtherMEDICARE RR
FL591923037OtherTAX ID
FL055501100Medicaid
FL56070OtherBCBS
FL062998471OtherMEDICARE RR
FL56070AMedicare ID - Type Unspecified