Healthcare Provider Details

I. General information

NPI: 1417394446
Provider Name (Legal Business Name): LEWIS RASHID MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/31/2013
Last Update Date: 06/18/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1200 E MICHIGAN AVE STE 655
LANSING MI
48912-1837
US

IV. Provider business mailing address

1500 E MEDICAL CENTER DR 2207 TC, SPC 5342
ANN ARBOR MI
48109-5000
US

V. Phone/Fax

Practice location:
  • Phone: 517-364-5388
  • Fax: 517-364-5943
Mailing address:
  • Phone: 734-936-5732
  • Fax: 734-936-5725

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208600000X
TaxonomySurgery Physician
License Number4301119178
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: