Healthcare Provider Details

I. General information

NPI: 1780391276
Provider Name (Legal Business Name): RASHAN MEDICAL PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/03/2022
Last Update Date: 12/09/2024
Certification Date: 12/09/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

734 BROADWAY
NEW YORK NY
10003-9552
US

IV. Provider business mailing address

734 BROADWAY
NEW YORK NY
10003-9552
US

V. Phone/Fax

Practice location:
  • Phone: 646-249-9333
  • Fax:
Mailing address:
  • Phone: 646-249-9333
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207N00000X
TaxonomyDermatology Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. ALI RASHAN
Title or Position: CMO
Credential: MD, MS
Phone: 646-249-1246