Healthcare Provider Details

I. General information

NPI: 1861774192
Provider Name (Legal Business Name): LANITA RASHID M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/13/2011
Last Update Date: 11/04/2021
Certification Date: 11/04/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2433 MARCONI AVE
SACRAMENTO CA
95821-4807
US

IV. Provider business mailing address

2433 MARCONI AVE
SACRAMENTO CA
95821-4807
US

V. Phone/Fax

Practice location:
  • Phone: 916-737-5555
  • Fax:
Mailing address:
  • Phone:
  • Fax: 916-880-5481

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License NumberC154647
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number300027
License Number StateLA
# 3
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License NumberC15467
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: