Provider Demographics
NPI:1821288085
Name:RASHID, ABDUL (MD)
Entity Type:Individual
Prefix:DR
First Name:ABDUL
Middle Name:
Last Name:RASHID
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 1:2700 W PLEASANT RUN RD STE 370
Mailing Address - Street 2:
Mailing Address - City:LANCASTER
Mailing Address - State:TX
Mailing Address - Zip Code:75146-1078
Mailing Address - Country:US
Mailing Address - Phone:469-206-4515
Mailing Address - Fax:214-296-0968
Practice Address - Street 1:2727 BOLTON BOONE DR STE 112
Practice Address - Street 2:
Practice Address - City:DESOTO
Practice Address - State:TX
Practice Address - Zip Code:75115-2019
Practice Address - Country:US
Practice Address - Phone:214-884-7525
Practice Address - Fax:214-884-7551
Is Sole Proprietor?:No
Enumeration Date:2007-07-25
Last Update Date:2023-06-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNMD47156207RC0000X
TXU2108207RI0011X, 207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
No207RI0011XAllopathic & Osteopathic PhysiciansInternal MedicineInterventional Cardiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TNP01053812OtherRAILROAD PTAN
TN1525528Medicaid
TNP01053812OtherRAILROAD PTAN