Provider Demographics
NPI:1700238029
Name:RASHID, SHAISTA
Entity Type:Individual
Prefix:
First Name:SHAISTA
Middle Name:
Last Name:RASHID
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9421 40TH RD FL 1
Mailing Address - Street 2:
Mailing Address - City:ELMHURST
Mailing Address - State:NY
Mailing Address - Zip Code:11373-1740
Mailing Address - Country:US
Mailing Address - Phone:347-400-4071
Mailing Address - Fax:
Practice Address - Street 1:9421 40TH RD FL 1
Practice Address - Street 2:
Practice Address - City:ELMHURST
Practice Address - State:NY
Practice Address - Zip Code:11373-1740
Practice Address - Country:US
Practice Address - Phone:347-400-4071
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-07-11
Last Update Date:2016-07-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator