Provider Demographics
NPI:1649282898
Name:RASHID, RUBAYYAT (DDS)
Entity type:Individual
Prefix:
First Name:RUBAYYAT
Middle Name:
Last Name:RASHID
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5198 BIRKDALE DR
Mailing Address - Street 2:
Mailing Address - City:COMMERCE TOWNSHIP
Mailing Address - State:MI
Mailing Address - Zip Code:48382-1582
Mailing Address - Country:US
Mailing Address - Phone:248-974-8018
Mailing Address - Fax:
Practice Address - Street 1:2002 E SAGINAW ST
Practice Address - Street 2:
Practice Address - City:LANSING
Practice Address - State:MI
Practice Address - Zip Code:48912-3143
Practice Address - Country:US
Practice Address - Phone:248-974-8018
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-08-13
Last Update Date:2016-09-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI186501223G0001X
TX244261223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI383014011OtherTAX ID
MID8002810OtherBCBS
MI4730982Medicaid
MI88144OtherDELTA