Provider Demographics
NPI:1841606373
Name:RASHEED, MAYADHA (DO)
Entity type:Individual
Prefix:
First Name:MAYADHA
Middle Name:
Last Name:RASHEED
Suffix:
Gender:
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:625 GRAMATAN AVE UNIT STO
Mailing Address - Street 2:
Mailing Address - City:MOUNT VERNON
Mailing Address - State:NY
Mailing Address - Zip Code:10552-1839
Mailing Address - Country:US
Mailing Address - Phone:203-788-9649
Mailing Address - Fax:
Practice Address - Street 1:625 GRAMATAN AVE UNIT STO
Practice Address - Street 2:
Practice Address - City:MOUNT VERNON
Practice Address - State:NY
Practice Address - Zip Code:10552-1839
Practice Address - Country:US
Practice Address - Phone:718-540-9729
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-07-03
Last Update Date:2025-03-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY296401208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics