MEDICARE: DR. LANITA RASHID 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	C154647	CA
2	208000000X	Pediatrics Physician	300027	LA
3	208000000X	Pediatrics Physician	C15467	CA

General Provider Information

NPI Number	:	1861774192
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. LANITA RASHID M.D.

Provider Business Mailing Address
First Line	:	2433 MARCONI AVE
Second Line	:
City	:	SACRAMENTO
State	:	CA
Zip	:	95821-4807
Country	:	US
Telephone Number	:
Fax Number	:	916-880-5481

Provider Business Practice Location Address
First Line	:	2433 MARCONI AVE
Second Line	:
City	:	SACRAMENTO
State	:	CA
Zip	:	95821-4807
Country	:	US
Telephone Number	:	916-737-5555
Fax Number	:

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

Provider Enumeration Date	:	09/13/2011
Last Update Date	:	11/04/2021

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