Provider Demographics
NPI:1578663035
Name:AHSAN RASHID MD
Entity Type:Organization
Organization Name:AHSAN RASHID MD
Other - Org Name:INTERNAL MEDICINE ASSOCIATES OF SAND CANYON
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:AHSAN
Authorized Official - Middle Name:U
Authorized Official - Last Name:RASHID
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:949-753-1522
Mailing Address - Street 1:113 WATERWORKS WAY STE 250
Mailing Address - Street 2:
Mailing Address - City:IRVINE
Mailing Address - State:CA
Mailing Address - Zip Code:92618-3169
Mailing Address - Country:US
Mailing Address - Phone:949-753-1522
Mailing Address - Fax:949-753-6075
Practice Address - Street 1:113 WATERWORKS WAY STE 250
Practice Address - Street 2:
Practice Address - City:IRVINE
Practice Address - State:CA
Practice Address - Zip Code:92618-3169
Practice Address - Country:US
Practice Address - Phone:949-753-1522
Practice Address - Fax:949-753-6075
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-25
Last Update Date:2024-02-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAE90062Medicare UPIN