Provider Demographics
NPI:1568498178
Name:HAMEEDI, RUKHSHINDA RAHMAN (MD)
Entity Type:Individual
Prefix:DR
First Name:RUKHSHINDA
Middle Name:RAHMAN
Last Name:HAMEEDI
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:984 N BROADWAY STE L04
Mailing Address - Street 2:
Mailing Address - City:YONKERS
Mailing Address - State:NY
Mailing Address - Zip Code:10701-1308
Mailing Address - Country:US
Mailing Address - Phone:914-327-3444
Mailing Address - Fax:914-327-3445
Practice Address - Street 1:984 N BROADWAY STE L04
Practice Address - Street 2:
Practice Address - City:YONKERS
Practice Address - State:NY
Practice Address - Zip Code:10701-1308
Practice Address - Country:US
Practice Address - Phone:914-327-3444
Practice Address - Fax:914-327-3445
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-24
Last Update Date:2014-01-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY222365207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
I27643Medicare UPIN