Healthcare Provider Details

I. General information

NPI: 1255713871
Provider Name (Legal Business Name): ABDIRAHIM MOHAMED RASHID MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/19/2015
Last Update Date: 11/20/2025
Certification Date: 11/20/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1800 N CAPITOL AVE STE E140
INDIANAPOLIS IN
46202-1218
US

IV. Provider business mailing address

1800 N CAPITOL AVE STE E140
INDIANAPOLIS IN
46202-1218
US

V. Phone/Fax

Practice location:
  • Phone: 317-962-8776
  • Fax:
Mailing address:
  • Phone: 173-962-8776
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number01080176A
License Number StateIN
# 2
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number60160
License Number StateKY
# 3
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number2015017907
License Number StateMO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: