MEDICARE: RASHID FAIYAZ M.D.

Medicare Provider Information

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

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207RN0300X	Nephrology Physician	01062019A	IN
2	207RN0300X	Nephrology Physician	35078839	OH
3	208D00000X	General Practice Physician	36526	KY

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	P00992178	OTHER	KY	RR MEDICARE KY - NICC
4	M400063433	OTHER	IN	MEDICARE - NICC

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

NPI Number	:	1598743361
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	RASHID FAIYAZ M.D.

Provider Business Mailing Address
First Line	:	800 HIGHLANDER POINT DR
Second Line	:	SUITE 204
City	:	FLOYDS KNOBS
State	:	IN
Zip	:	47119-9465
Country	:	US
Telephone Number	:	812-542-4921
Fax Number	:	812-949-5966

Provider Business Practice Location Address
First Line	:	1850 STATE ST
Second Line	:
City	:	NEW ALBANY
State	:	IN
Zip	:	47150-4990
Country	:	US
Telephone Number	:	812-944-7701
Fax Number	:	812-981-6505

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/03/2006
Last Update Date	:	04/28/2016

10 UNION SQ E , BETH ISRAEL MED CTR- DEPT OF REHAB MEDICARE
NEW YORK, NY
10003-3314

Practice Phone: 212-420-2757
Practice Fax: