Healthcare Provider Details

I. General information

NPI: 1992816664
Provider Name (Legal Business Name): ZAINAB RASHID D.O.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/31/2006
Last Update Date: 01/30/2020
Certification Date: 01/30/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5424 E SOUTHERN AVE #103
MESA AZ
85206-3621
US

IV. Provider business mailing address

5424 E SOUTHERN AVE #103
MESA AZ
85206-3621
US

V. Phone/Fax

Practice location:
  • Phone: 480-396-2300
  • Fax:
Mailing address:
  • Phone: 480-396-2300
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207N00000X
TaxonomyDermatology Physician
License Number5010
License Number StateAZ
# 2
Primary TaxonomyN
Taxonomy Code207ND0101X
TaxonomyMOHS-Micrographic Surgery Physician
License Number5010
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: