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NPI Code Detail

MEDICARE: MAHDEE RASUL MS, LADAC II

MEDICARE: MAHDEE RASUL MS, LADAC II
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YM0800XMental Health Counselor

General Provider Information

NPI Number : 1023972825
Entity Type Code : Individual
Provider Name (Legal Business Name) : MAHDEE RASUL MS, LADAC II
Provider Business Mailing Address
First Line : 118 PEYTON RUN LOOP E
Second Line :
City : COLLIERVILLE
State : TN
Zip : 38017-1258
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 5545 MURRAY AVE STE 204
Second Line :
City : MEMPHIS
State : TN
Zip : 38119-3898
Country : US
Telephone Number : 662-536-6210
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/15/2025
Last Update Date : 12/15/2025

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