Provider Demographics
NPI:1598709164
Name:RASHID, TAJ AHMAD (MD)
Entity Type:Individual
Prefix:
First Name:TAJ
Middle Name:AHMAD
Last Name:RASHID
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:2200 PHILADELPHIA DR
Mailing Address - Street 2:SUITE 441
Mailing Address - City:DAYTON
Mailing Address - State:OH
Mailing Address - Zip Code:45406-1840
Mailing Address - Country:US
Mailing Address - Phone:937-734-2230
Mailing Address - Fax:937-567-4186
Practice Address - Street 1:2200 PHILADELPHIA DR
Practice Address - Street 2:SUITE 441
Practice Address - City:DAYTON
Practice Address - State:OH
Practice Address - Zip Code:45406-1840
Practice Address - Country:US
Practice Address - Phone:937-734-2230
Practice Address - Fax:937-567-4186
Is Sole Proprietor?:No
Enumeration Date:2006-06-15
Last Update Date:2011-08-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35067272207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0159564Medicaid
OH0159564Medicaid
OHH008970Medicare PIN