Provider Demographics
NPI:1295516094
Name:MUHAMMAD, RHASHOD SHABAZZ (CPRS,CDCA)
Entity type:Individual
Prefix:MR
First Name:RHASHOD
Middle Name:SHABAZZ
Last Name:MUHAMMAD
Suffix:
Gender:M
Credentials:CPRS,CDCA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:601 W WENGER RD APT 50
Mailing Address - Street 2:
Mailing Address - City:ENGLEWOOD
Mailing Address - State:OH
Mailing Address - Zip Code:45322-1936
Mailing Address - Country:US
Mailing Address - Phone:937-469-0286
Mailing Address - Fax:
Practice Address - Street 1:601 W WENGER RD APT 50
Practice Address - Street 2:
Practice Address - City:ENGLEWOOD
Practice Address - State:OH
Practice Address - Zip Code:45322-1936
Practice Address - Country:US
Practice Address - Phone:937-469-0286
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-10-09
Last Update Date:2023-10-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)