Provider Demographics
NPI:1558381426
Name:RASHID, JOHN J (MD)
Entity Type:Individual
Prefix:
First Name:JOHN
Middle Name:J
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:PO BOX 540
Mailing Address - Street 2:
Mailing Address - City:WEST BURLINGTON
Mailing Address - State:IA
Mailing Address - Zip Code:52655-0540
Mailing Address - Country:US
Mailing Address - Phone:319-768-3200
Mailing Address - Fax:319-768-3460
Practice Address - Street 1:1223 S GEAR AVE
Practice Address - Street 2:STE 304
Practice Address - City:WEST BURLINGTON
Practice Address - State:IA
Practice Address - Zip Code:52655-1682
Practice Address - Country:US
Practice Address - Phone:319-768-3200
Practice Address - Fax:319-768-3460
Is Sole Proprietor?:No
Enumeration Date:2006-07-20
Last Update Date:2007-11-07
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
IA32886207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
IAP00222296OtherRR MEDICARE
IA1184937Medicaid
IA38553OtherWELLMARK BLUE CROSS BLUE
IAP00222296OtherRR MEDICARE
IAI14711Medicare PIN