Provider Demographics
NPI:1104851369
Name:RASCHID, SOHAEL M (MD)
Entity type:Individual
Prefix:DR
First Name:SOHAEL
Middle Name:M
Last Name:RASCHID
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1124 KENNEBEC DRIVE
Mailing Address - Street 2:
Mailing Address - City:CHAMBERSBURG
Mailing Address - State:PA
Mailing Address - Zip Code:17201
Mailing Address - Country:US
Mailing Address - Phone:717-263-8919
Mailing Address - Fax:717-263-2655
Practice Address - Street 1:1124 KENNEBEC DRIVE
Practice Address - Street 2:
Practice Address - City:CHAMBERSBURG
Practice Address - State:PA
Practice Address - Zip Code:17201
Practice Address - Country:US
Practice Address - Phone:717-263-8919
Practice Address - Fax:717-263-2655
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-12
Last Update Date:2010-04-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA040330L207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA0011663160004Medicaid
PA867633OtherMEDICARE GROUP #
PA251716306OtherINTERGROUP
PA251716306OtherMULTIPLAN/PHCS
PA190067OtherHIGHMARK BLUE SHIELD
PA50086440OtherCAPITAL BLUE CROSS
PA251716306OtherINTERGROUP
PA0011663160004Medicaid