Healthcare Provider Details
I. General information
NPI: 1689231219
Provider Name (Legal Business Name): RACHEL BUCKLE-RASHID MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 05/20/2019
Last Update Date: 06/14/2024
Certification Date: 05/16/2024
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1500 FOREST GLEN ROAD
SILVER SPRING MD
20910
US
IV. Provider business mailing address
593 EDDY ST
PROVIDENCE RI
02903-4923
US
V. Phone/Fax
- Phone: 301-754-7000
- Fax:
- Phone: 401-444-8805
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 208000000X |
| Taxonomy | Pediatrics Physician |
| License Number | MD600001649 |
| License Number State | DC |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 208000000X |
| Taxonomy | Pediatrics Physician |
| License Number | D0099612 |
| License Number State | MD |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: