Provider Demographics
NPI:1013521665
Name:RASHA MORAD, MD PA
Entity Type:Organization
Organization Name:RASHA MORAD, MD PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:RASHA
Authorized Official - Middle Name:A
Authorized Official - Last Name:MORAD
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:410-404-3081
Mailing Address - Street 1:7020 VALLEY GREENS DR APT 16
Mailing Address - Street 2:
Mailing Address - City:CARMEL
Mailing Address - State:CA
Mailing Address - Zip Code:93923-7907
Mailing Address - Country:US
Mailing Address - Phone:410-404-3081
Mailing Address - Fax:
Practice Address - Street 1:7020 VALLEY GREENS DR APT 16
Practice Address - Street 2:
Practice Address - City:CARMEL
Practice Address - State:CA
Practice Address - Zip Code:93923-7907
Practice Address - Country:US
Practice Address - Phone:410-404-3081
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-09-01
Last Update Date:2022-09-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty