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NPI Code Detail

MEDICARE: MS. RASHANTE BASHINEKA HARRIS M.D.

MEDICARE: MS. RASHANTE BASHINEKA HARRIS M.D.
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
1207Q00000XFamily Medicine PhysicianP62706GA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1063660223
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. RASHANTE BASHINEKA HARRIS M.D.
Provider Business Mailing Address
First Line : 882 PONCE DE LEON AVE NE
Second Line :
City : ATLANTA
State : GA
Zip : 30306-4268
Country : US
Telephone Number : 770-809-3034
Fax Number : 404-347-9445
Provider Business Practice Location Address
First Line : 882 PONCE DE LEON AVE NE
Second Line :
City : ATLANTA
State : GA
Zip : 30306-4268
Country : US
Telephone Number : 770-809-3034
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/29/2008
Last Update Date : 07/13/2021

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