Provider Demographics
NPI:1841223955
Name:NADEEM, RASHID (MD)
Entity Type:Individual
Prefix:
First Name:RASHID
Middle Name:
Last Name:NADEEM
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 1:321 MAIN ST STE 3C
Mailing Address - Street 2:BRIAN GUNNLAUGSON MD PC
Mailing Address - City:JOHNSTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:15901-1632
Mailing Address - Country:US
Mailing Address - Phone:814-535-6521
Mailing Address - Fax:814-536-4819
Practice Address - Street 1:321 MAIN ST
Practice Address - Street 2:SUITE 5F
Practice Address - City:JOHNSTOWN
Practice Address - State:PA
Practice Address - Zip Code:15901-1632
Practice Address - Country:US
Practice Address - Phone:814-536-9844
Practice Address - Fax:814-539-1179
Is Sole Proprietor?:No
Enumeration Date:2006-07-09
Last Update Date:2010-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA419639207RP1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA001944090Medicaid
WI1841223955Medicaid
WI322500122Medicare PIN
PA060746Medicare ID - Type Unspecified