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NPI Code Detail

MEDICARE: RASHAD B DAVIS

MEDICARE:   RASHAD B DAVIS
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
1171M00000XCase Manager/Care Coordinator

General Provider Information

NPI Number : 1740972975
Entity Type Code : Individual
Provider Name (Legal Business Name) : RASHAD B DAVIS
Provider Business Mailing Address
First Line : 7911 DETROIT AVE
Second Line :
City : CLEVELAND
State : OH
Zip : 44102-2815
Country : US
Telephone Number : 216-334-2876
Fax Number :
Provider Business Practice Location Address
First Line : 140 RICHMOND RD
Second Line :
City : CLEVELAND
State : OH
Zip : 44143-1239
Country : US
Telephone Number : 216-407-2035
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/25/2023
Last Update Date : 05/25/2023

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Directions to “ RASHAD B DAVIS ” Practice Location

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