=====================================================
General NPI Number Information
=====================================================
NPI Number | 1891073706
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | RASHA ABDULMASSIH MD
-----------------------------------------------------
Gender | Female
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 07/26/2011
-----------------------------------------------------
Last Update Date | 10/27/2020
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 420 E NORTH AVE STE 406
-----------------------------------------------------
City | PITTSBURGH
-----------------------------------------------------
State | PA
-----------------------------------------------------
Zip | 15212-4746
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 412-359-3683
-----------------------------------------------------
Fax | 412-359-3373
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 420 E NORTH AVE STE 406
-----------------------------------------------------
City | PITTSBURGH
-----------------------------------------------------
State | PA
-----------------------------------------------------
Zip | 15212-4746
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 412-359-3683
-----------------------------------------------------
Fax | 412-359-3373
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 207RI0200X
-----------------------------------------------------
Taxonomy Name | Infectious Disease Physician
-----------------------------------------------------
License Number | MD453716
-----------------------------------------------------
License Number State | PA
-----------------------------------------------------