Provider Demographics
NPI:1497378103
Name:RASHID, FAWAD AHMED (MD)
Entity Type:Individual
Prefix:MR
First Name:FAWAD
Middle Name:AHMED
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 1:111 EAST 210TH STREET
Mailing Address - Street 2:NW351
Mailing Address - City:BRONX
Mailing Address - State:NY
Mailing Address - Zip Code:10467
Mailing Address - Country:US
Mailing Address - Phone:189-202-6239
Mailing Address - Fax:718-547-2360
Practice Address - Street 1:2001 KINGSLEY AVENUE OFFICE OF GRADUATE MEDICAL EDUCATI
Practice Address - Street 2:
Practice Address - City:ORANGE PARK
Practice Address - State:FL
Practice Address - Zip Code:32073
Practice Address - Country:US
Practice Address - Phone:904-639-2000
Practice Address - Fax:904-639-2015
Is Sole Proprietor?:No
Enumeration Date:2020-05-28
Last Update Date:2022-06-27
Deactivation Date:2022-01-18
Deactivation Code:
Reactivation Date:2022-06-27
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program