Provider Demographics
NPI:1760448468
Name:RASHEED, MAMOON A (MD)
Entity Type:Individual
Prefix:DR
First Name:MAMOON
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 1:828 W MAIN ST
Mailing Address - Street 2:
Mailing Address - City:MT PLEASANT
Mailing Address - State:PA
Mailing Address - Zip Code:15666-1730
Mailing Address - Country:US
Mailing Address - Phone:724-547-4441
Mailing Address - Fax:724-547-4311
Practice Address - Street 1:828 W MAIN ST
Practice Address - Street 2:
Practice Address - City:MT PLEASANT
Practice Address - State:PA
Practice Address - Zip Code:15666-1730
Practice Address - Country:US
Practice Address - Phone:724-547-4441
Practice Address - Fax:724-547-4311
Is Sole Proprietor?:No
Enumeration Date:2006-04-22
Last Update Date:2012-01-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD055855L207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA0015601090005Medicaid
PA0015601090005Medicaid
PAG08052Medicare UPIN