Provider Demographics
NPI:1790738391
Name:AHSANUDDIN, RASHEDA (MD)
Entity Type:Individual
Prefix:DR
First Name:RASHEDA
Middle Name:
Last Name:AHSANUDDIN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:449 BETHEL RD
Mailing Address - Street 2:
Mailing Address - City:MORGANTON
Mailing Address - State:NC
Mailing Address - Zip Code:28655-3611
Mailing Address - Country:US
Mailing Address - Phone:828-437-5900
Mailing Address - Fax:
Practice Address - Street 1:449 BETHEL RD
Practice Address - Street 2:
Practice Address - City:MORGANTON
Practice Address - State:NC
Practice Address - Zip Code:28655-3611
Practice Address - Country:US
Practice Address - Phone:828-437-5900
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-05-18
Last Update Date:2019-03-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC287262084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC891044BMedicaid
NC016P5OtherGROUP NUMBER WITH BCBS
NC1044BOtherINDIVIDUAL ID # WITH BCBS
NC891044BMedicaid