Healthcare Provider Details

I. General information

NPI: 1053841320
Provider Name (Legal Business Name): YAR MUHAMMAD RASUL MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/19/2017
Last Update Date: 05/22/2024
Certification Date: 05/22/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

271 CAREW ST
SPRINGFIELD MA
01104-2377
US

IV. Provider business mailing address

271 CAREW ST
SPRINGFIELD MA
01104-2377
US

V. Phone/Fax

Practice location:
  • Phone: 413-748-9349
  • Fax: 413-452-6080
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208M00000X
TaxonomyHospitalist Physician
License Number76457
License Number StateCT
# 2
Primary TaxonomyY
Taxonomy Code208M00000X
TaxonomyHospitalist Physician
License Number282099
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: