MEDICARE: ROBERT RASHAD

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	374U00000X	Home Health Aide

General Provider Information

NPI Number	:	1740925791
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ROBERT RASHAD

Provider Business Mailing Address
First Line	:	PO BOX 25047
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90025
Country	:	US
Telephone Number	:	323-898-9651
Fax Number	:

Provider Business Practice Location Address
First Line	:	413 WALKER AVE
Second Line	:
City	:	KANSAS CITY
State	:	KS
Zip	:	66101-2339
Country	:	US
Telephone Number	:	323-898-9651
Fax Number	:

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

Provider Enumeration Date	:	05/04/2022
Last Update Date	:	05/04/2022

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