Healthcare Provider Details

I. General information

NPI: 1881269959
Provider Name (Legal Business Name): SHOAIB RASHID MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/21/2021
Last Update Date: 06/11/2026
Certification Date: 06/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

OFFICE OF SURGICAL EDUCATION GABRIELLE GRUBMAN, 270-05 76TH AVENUE RESEARCH BLDG C LEVEL ROOM 039AB
NEW HYDE PARK NY
11040
US

IV. Provider business mailing address

27005 76TH AVE BLDG C
NEW HYDE PARK NY
11040-1402
US

V. Phone/Fax

Practice location:
  • Phone: 718-470-4475
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2085R0202X
TaxonomyDiagnostic Radiology Physician
License Number036180528
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: