Provider Demographics
NPI:1831165729
Name:RASHED, AHMED (MD)
Entity type:Individual
Prefix:DR
First Name:AHMED
Middle Name:
Last Name:RASHED
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:PO BOX 1538
Mailing Address - Street 2:
Mailing Address - City:PORTERVILLE
Mailing Address - State:CA
Mailing Address - Zip Code:93258-1538
Mailing Address - Country:US
Mailing Address - Phone:559-781-4500
Mailing Address - Fax:559-781-4502
Practice Address - Street 1:130 N VILLA ST
Practice Address - Street 2:SUITE B
Practice Address - City:PORTERVILLE
Practice Address - State:CA
Practice Address - Zip Code:93257-3218
Practice Address - Country:US
Practice Address - Phone:559-781-4500
Practice Address - Fax:559-781-4502
Is Sole Proprietor?:Yes
Enumeration Date:2006-02-28
Last Update Date:2008-05-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAC51217207RG0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterology
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAE49820Medicare UPIN
CA00C512171Medicare PIN
CA00C512170Medicare ID - Type UnspecifiedMEDICARE PROVIDER NUMBER