Provider Demographics
NPI:1750488110
Name:RASHEED, ASHFAQ A (MD)
Entity Type:Individual
Prefix:
First Name:ASHFAQ
Middle Name:A
Last Name:RASHEED
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2698 NORTH GALLOWAY AVE. #101
Mailing Address - Street 2:
Mailing Address - City:MESQUITE
Mailing Address - State:TX
Mailing Address - Zip Code:75150
Mailing Address - Country:US
Mailing Address - Phone:972-288-1662
Mailing Address - Fax:972-289-3075
Practice Address - Street 1:2698 NORTH GALLOWAY AVE. #101
Practice Address - Street 2:
Practice Address - City:MESQUITE
Practice Address - State:TX
Practice Address - Zip Code:75150
Practice Address - Country:US
Practice Address - Phone:972-288-1662
Practice Address - Fax:972-289-3075
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-20
Last Update Date:2014-08-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXE9938207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX032546601Medicaid
TXP000332425OtherRAILROAD MEDICARE
TX00CN83OtherBLUE SHIELD
TXC20873Medicare UPIN
TX032546601Medicaid
TX00CN83OtherBLUE SHIELD