Provider Demographics
NPI:1437201795
Name:RASHID, SHAUKAT (MD)
Entity Type:Individual
Prefix:
First Name:SHAUKAT
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 1:4235 SECOR RD
Mailing Address - Street 2:
Mailing Address - City:TOLEDO
Mailing Address - State:OH
Mailing Address - Zip Code:43623-4231
Mailing Address - Country:US
Mailing Address - Phone:419-291-2123
Mailing Address - Fax:419-479-6972
Practice Address - Street 1:2121 HUGHES DR
Practice Address - Street 2:STE 630
Practice Address - City:TOLEDO
Practice Address - State:OH
Practice Address - Zip Code:43606-3845
Practice Address - Country:US
Practice Address - Phone:419-291-2123
Practice Address - Fax:419-479-6972
Is Sole Proprietor?:No
Enumeration Date:2007-01-17
Last Update Date:2020-08-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35086464174400000X
OH35.086464207RN0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrology
No174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH2608922Medicaid
OH2608922Medicaid
OHG63789Medicare UPIN