Healthcare Provider Details

I. General information

NPI: 1992367445
Provider Name (Legal Business Name): RASHAD ALIKHAN MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/05/2019
Last Update Date: 06/12/2026
Certification Date: 06/12/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1400 VFW PKWY
WEST ROXBURY MA
02132-4927
US

IV. Provider business mailing address

450 PROVIDENCE HWY # 1149
DEDHAM MA
02026-6815
US

V. Phone/Fax

Practice location:
  • Phone: 717-323-7700
  • Fax:
Mailing address:
  • Phone: 818-800-7395
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number294155
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: