Healthcare Provider Details

I. General information

NPI: 1245400928
Provider Name (Legal Business Name): RAHSAAN LATEEF LINDSEY M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/10/2008
Last Update Date: 01/14/2025
Certification Date: 01/14/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7575 E EARLL DR
SCOTTSDALE AZ
85251-6998
US

IV. Provider business mailing address

PO BOX 13581
CHANDLER AZ
85248-0044
US

V. Phone/Fax

Practice location:
  • Phone: 480-448-7500
  • Fax: 480-448-7771
Mailing address:
  • Phone: 443-310-2073
  • Fax: 888-908-3581

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number48549
License Number StateAZ
# 2
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License NumberD0059449
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: