Provider Demographics
NPI:1255740494
Name:AL-RASHED, RAMI
Entity type:Individual
Prefix:
First Name:RAMI
Middle Name:
Last Name:AL-RASHED
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4540 OLD OAK CT
Mailing Address - Street 2:
Mailing Address - City:PLYMOUTH
Mailing Address - State:MI
Mailing Address - Zip Code:48170-6441
Mailing Address - Country:US
Mailing Address - Phone:734-474-4324
Mailing Address - Fax:
Practice Address - Street 1:4540 OLD OAK CT
Practice Address - Street 2:
Practice Address - City:PLYMOUTH
Practice Address - State:MI
Practice Address - Zip Code:48170-6441
Practice Address - Country:US
Practice Address - Phone:734-474-4324
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-08-12
Last Update Date:2022-03-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI480617213ES0103X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI5901002551OtherPODIATRIC PHYSICIAN AND SURGEON
MI5315067669OtherPHARMACY CONTROLLED SUBSTANCE