Provider Demographics
NPI:1134274368
Name:RASHID, KHUSRO (MD)
Entity type:Individual
Prefix:
First Name:KHUSRO
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:PO BOX 781256
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78278-1256
Mailing Address - Country:US
Mailing Address - Phone:210-333-1080
Mailing Address - Fax:
Practice Address - Street 1:5234 SAGAIL PL
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78249-1798
Practice Address - Country:US
Practice Address - Phone:210-646-0800
Practice Address - Fax:210-272-0085
Is Sole Proprietor?:No
Enumeration Date:2007-01-25
Last Update Date:2019-09-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXK4203207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX130884303Medicaid
TXK4203OtherLICENSE
TXK4203OtherLICENSE
TXG56830Medicare UPIN
TX0035CBMedicare ID - Type Unspecified