Provider Demographics
NPI:1467593459
Name:RASHID, KHADIJA S (MD)
Entity Type:Individual
Prefix:
First Name:KHADIJA
Middle Name:S
Last Name:RASHID
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:1255 N CHERRY ST
Mailing Address - Street 2:PMB 603
Mailing Address - City:TULARE
Mailing Address - State:CA
Mailing Address - Zip Code:93274-2233
Mailing Address - Country:US
Mailing Address - Phone:559-684-8156
Mailing Address - Fax:559-684-8198
Practice Address - Street 1:4042 S DEMAREE ST
Practice Address - Street 2:
Practice Address - City:VISALIA
Practice Address - State:CA
Practice Address - Zip Code:93277-9476
Practice Address - Country:US
Practice Address - Phone:559-754-2967
Practice Address - Fax:559-754-2970
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-11
Last Update Date:2022-02-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA969662084N0400X, 2084N0600X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology
No2084N0600XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyClinical Neurophysiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00A969660Medicaid
0-566-115-2OtherECFMG
00A969660Medicare PIN
0-566-115-2OtherECFMG