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General NPI Number Information
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NPI Number | 1003021007
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Entity Type | Individual
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Provider Name | RAKHSHAN MAHMOOD CHIDA M.D.
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Gender | Female
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Dates
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Enumeration Date | 05/11/2007
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Last Update Date | 09/08/2025
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Provider Practice Location Address
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Address Line | 327 E 17TH ST
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City | NEW YORK
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State | NY
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Zip | 10003-3804
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Country | US
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Telephone | 212-420-5690
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Fax |
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Provider Business Mailing Address
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Address Line | 187 FOX MEADOW RD
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City | SCARSDALE
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State | NY
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Zip | 10583-1643
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Country | US
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Telephone | 914-588-6519
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RI0200X
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Taxonomy Name | Infectious Disease Physician
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License Number | 195627
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 261QM2800X
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Taxonomy Name | Methadone Clinic
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License Number | 195627
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License Number State | NY
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