Provider Demographics
NPI:1639932866
Name:MITCHAM, RASHID AMEER
Entity Type:Individual
Prefix:MR
First Name:RASHID
Middle Name:AMEER
Last Name:MITCHAM
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 1:2142 MIAMI RD
Mailing Address - Street 2:
Mailing Address - City:EUCLID
Mailing Address - State:OH
Mailing Address - Zip Code:44117-2406
Mailing Address - Country:US
Mailing Address - Phone:216-551-2593
Mailing Address - Fax:
Practice Address - Street 1:2142 MIAMI RD
Practice Address - Street 2:
Practice Address - City:EUCLID
Practice Address - State:OH
Practice Address - Zip Code:44117-2406
Practice Address - Country:US
Practice Address - Phone:216-551-2593
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-01-31
Last Update Date:2024-01-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide