MEDICARE: HADI ABU RASHEED M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	208000000X	Pediatrics Physician	43352	KY

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1588872543
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	HADI ABU RASHEED M.D.

Provider Business Mailing Address
First Line	:	PO BOX 182
Second Line	:	1060 GRAND AVE
City	:	BEATTYVILLE
State	:	KY
Zip	:	41311-0000
Country	:	US
Telephone Number	:	606-464-0108
Fax Number	:	606-464-0907

Provider Business Practice Location Address
First Line	:	1060 GRAND AVE
Second Line	:
City	:	BEATTYVILLE
State	:	KY
Zip	:	41311-0000
Country	:	US
Telephone Number	:	606-464-0108
Fax Number	:	606-464-0907

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/21/2007
Last Update Date	:	02/27/2012

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