Provider Demographics
NPI:1720058266
Name:RASHID, SYED (MD)
Entity Type:Individual
Prefix:
First Name:SYED
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 1:1529 UNION AVE STE A
Mailing Address - Street 2:
Mailing Address - City:MOBERLY
Mailing Address - State:MO
Mailing Address - Zip Code:65270-9407
Mailing Address - Country:US
Mailing Address - Phone:660-269-8550
Mailing Address - Fax:660-269-8555
Practice Address - Street 1:1529 UNION AVE STE A
Practice Address - Street 2:
Practice Address - City:MOBERLY
Practice Address - State:MO
Practice Address - Zip Code:65270-9407
Practice Address - Country:US
Practice Address - Phone:660-269-8550
Practice Address - Fax:660-269-8555
Is Sole Proprietor?:Yes
Enumeration Date:2006-01-26
Last Update Date:2022-06-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO116084207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MO110174117OtherRAILROAD MEDICARE
MO119897OtherBCBS ID
MO392253OtherHEALTHLINK ID
MO5432699OtherAETNA ID
MO209990902Medicaid
MO5432699OtherAETNA ID
MO209990902Medicaid