Provider Demographics
NPI:1205947926
Name:RASHID, TASNEEM J (MD)
Entity type:Individual
Prefix:
First Name:TASNEEM
Middle Name:J
Last Name:RASHID
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2780 MORRIS AVE
Mailing Address - Street 2:SUITE 1-C
Mailing Address - City:UNION
Mailing Address - State:NJ
Mailing Address - Zip Code:07083-4852
Mailing Address - Country:US
Mailing Address - Phone:908-687-8741
Mailing Address - Fax:908-687-6465
Practice Address - Street 1:2780 MORRIS AVE
Practice Address - Street 2:SUITE 1-C
Practice Address - City:UNION
Practice Address - State:NJ
Practice Address - Zip Code:07083-4852
Practice Address - Country:US
Practice Address - Phone:908-687-8741
Practice Address - Fax:908-687-6465
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-31
Last Update Date:2012-08-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJMA53544207RH0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RH0003XAllopathic & Osteopathic PhysiciansInternal MedicineHematology & Oncology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ3975304Medicaid
NJ3975304Medicaid
NJRA636424Medicare ID - Type Unspecified