Provider Demographics
NPI:1891743431
Name:ABDUL CADER, RUSHDI ZAREEN (MD)
Entity Type:Individual
Prefix:DR
First Name:RUSHDI
Middle Name:ZAREEN
Last Name:ABDUL CADER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:DR
Other - First Name:RUSHDI
Other - Middle Name:ZAREEN ABDUL
Other - Last Name:CADER
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MD
Mailing Address - Street 1:PO BOX 87
Mailing Address - Street 2:
Mailing Address - City:TEMPLETON
Mailing Address - State:CA
Mailing Address - Zip Code:93465-0087
Mailing Address - Country:US
Mailing Address - Phone:805-434-1869
Mailing Address - Fax:
Practice Address - Street 1:1010 MURRAY ST
Practice Address - Street 2:
Practice Address - City:SAN LUIS OBISPO
Practice Address - State:CA
Practice Address - Zip Code:93405-8800
Practice Address - Country:US
Practice Address - Phone:805-546-7650
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-05-05
Last Update Date:2015-02-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA61031207PE0004X, 207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine
No207PE0004XAllopathic & Osteopathic PhysiciansEmergency MedicineEmergency Medical Services
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00A610310Medicaid
CA930081867OtherMEDICARE RAILROAD
CAWA61031AMedicare ID - Type Unspecified
CAG96321Medicare UPIN