Healthcare Provider Details

I. General information

NPI: 1649720350
Provider Name (Legal Business Name): RASHEEDM.D.CORPORATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/05/2016
Last Update Date: 10/05/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4662 VASARI ST
DUBLIN CA
94568-4250
US

IV. Provider business mailing address

4662 VASARI ST
DUBLIN CA
94568-4250
US

V. Phone/Fax

Practice location:
  • Phone: 404-759-7975
  • Fax: 925-558-4483
Mailing address:
  • Phone: 404-759-7975
  • Fax: 925-558-4483

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code314000000X
TaxonomySkilled Nursing Facility
License NumberA117406
License Number StateCA

VIII. Authorized Official

Name: DR. MOYRA NAZNEEN RASHEED
Title or Position: M.D.
Credential: M.D.
Phone: 404-759-7975