Healthcare Provider Details

I. General information

NPI: 1083540892
Provider Name (Legal Business Name): OSAMA RASHID
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/19/2026
Last Update Date: 06/19/2026
Certification Date: 06/19/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

910 S CHEROKEE LN
LODI CA
95240-4335
US

IV. Provider business mailing address

910 S CHEROKEE LN
LODI CA
95240-4335
US

V. Phone/Fax

Practice location:
  • Phone: 201-685-9531
  • Fax: 201-685-9531
Mailing address:
  • Phone: 201-685-9531
  • Fax: 201-685-9531

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: