Provider Demographics
NPI:1639526106
Name:KHAN, RASHEED MASIH MUHAMMAD
Entity Type:Individual
Prefix:MR
First Name:RASHEED
Middle Name:MASIH MUHAMMAD
Last Name:KHAN
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:137 KIRKBRIDE RD APT 6
Mailing Address - Street 2:
Mailing Address - City:VOORHEES
Mailing Address - State:NJ
Mailing Address - Zip Code:08043-1825
Mailing Address - Country:US
Mailing Address - Phone:201-884-2110
Mailing Address - Fax:
Practice Address - Street 1:STERLING MANOR NURSING CENTER
Practice Address - Street 2:794 N FORKLANDING ROAD
Practice Address - City:MAPLE SHADE
Practice Address - State:NJ
Practice Address - Zip Code:08052-2109
Practice Address - Country:US
Practice Address - Phone:856-779-9333
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-05-15
Last Update Date:2022-08-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ40QA01638800225100000X
NY038788225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist