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NPI Code Detail

MEDICARE: DR. IMRAN RASHID M.D.

MEDICARE: DR. IMRAN 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
1174400000XSpecialistME83730FL
2207RN0300XNephrology PhysicianME83730FL
3207R00000XInternal Medicine PhysicianME83730FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2593392581OTHERFLCORPORATE TAX ID
306443OTHERFLBCBS FL
4MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1912900325
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. IMRAN RASHID M.D.
Provider Business Mailing Address
First Line : 3300 DAIRY RD
Second Line :
City : TITUSVILLE
State : FL
Zip : 32796-1512
Country : US
Telephone Number : 321-269-6530
Fax Number : 321-269-2334
Provider Business Practice Location Address
First Line : 3300 DAIRY RD
Second Line :
City : TITUSVILLE
State : FL
Zip : 32796-1512
Country : US
Telephone Number : 321-269-6530
Fax Number : 321-269-2334
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/31/2005
Last Update Date : 02/24/2011

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Directions to “ DR. IMRAN RASHID M.D.” Practice Location

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