Provider Demographics
NPI:1922070416
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 1:1770 TANGLEWOOD RD
Mailing Address - Street 2:
Mailing Address - City:ORWIGSBURG
Mailing Address - State:PA
Mailing Address - Zip Code:17961-9529
Mailing Address - Country:US
Mailing Address - Phone:570-366-1121
Mailing Address - Fax:570-366-1392
Practice Address - Street 1:1770 TANGLEWOOD RD
Practice Address - Street 2:
Practice Address - City:ORWIGSBURG
Practice Address - State:PA
Practice Address - Zip Code:17961-9529
Practice Address - Country:US
Practice Address - Phone:570-366-1121
Practice Address - Fax:570-366-1392
Is Sole Proprietor?:Yes
Enumeration Date:2006-02-07
Last Update Date:2009-09-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD034867L207R00000X, 207RG0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterology
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA0000124976OtherBLUE SHIELD
PA50047348OtherCAPITAL BLUE CROSS
PA0006504710001Medicaid
PA0000124976OtherBLUE SHIELD
D70028Medicare UPIN