MEDICARE: WAQARUN NISA RASHID 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
1	207V00000X	Obstetrics & Gynecology Physician	MD471311	PA
2	207V00000X	Obstetrics & Gynecology Physician	76767	CT

General Provider Information

NPI Number	:	1710349188
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	WAQARUN NISA RASHID M.D.

Provider Business Mailing Address
First Line	:	100 N ACADEMY AVE
Second Line	:
City	:	DANVILLE
State	:	PA
Zip	:	17822-4903
Country	:	US
Telephone Number	:	570-271-6144
Fax Number	:

Provider Business Practice Location Address
First Line	:	5000 MAIN ST
Second Line	:
City	:	TRUMBULL
State	:	CT
Zip	:	06611-4710
Country	:	US
Telephone Number	:	203-374-0404
Fax Number	:

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

Provider Enumeration Date	:	03/24/2016
Last Update Date	:	02/09/2024

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