Healthcare Provider Details

I. General information

NPI: 1184249013
Provider Name (Legal Business Name): CHAWAN RASHEED OD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/16/2020
Last Update Date: 10/07/2026
Certification Date: 10/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

41555 W TWELVE MILE RD
NOVI MI
48377-3103
US

IV. Provider business mailing address

41555 W TWELVE MILE RD
NOVI MI
48377-3103
US

V. Phone/Fax

Practice location:
  • Phone: 248-675-0825
  • Fax: 248-856-2761
Mailing address:
  • Phone: 248-675-0825
  • Fax: 248-856-2761

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code152W00000X
TaxonomyOptometrist
License Number4901005746
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: