Provider Demographics
NPI:1720017452
Name:MALIKA RASHEED PA
Entity Type:Organization
Organization Name:MALIKA RASHEED PA
Other - Org Name:VISION REHAB
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER/PHYSICAL THERAPIST
Authorized Official - Prefix:MS
Authorized Official - First Name:MALIKA
Authorized Official - Middle Name:
Authorized Official - Last Name:RASHEED
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:410-905-9378
Mailing Address - Street 1:7648 PRESIDENT ST
Mailing Address - Street 2:
Mailing Address - City:FULTON
Mailing Address - State:MD
Mailing Address - Zip Code:20759-2515
Mailing Address - Country:US
Mailing Address - Phone:410-905-9378
Mailing Address - Fax:240-264-6156
Practice Address - Street 1:7648 PRESIDENT ST
Practice Address - Street 2:
Practice Address - City:FULTON
Practice Address - State:MD
Practice Address - Zip Code:20759-2515
Practice Address - Country:US
Practice Address - Phone:410-905-9378
Practice Address - Fax:240-264-6156
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-03
Last Update Date:2008-05-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD18703225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
DCG00668Medicare PIN
MD136MMedicare PIN
MD650023644Medicare PIN