Provider Demographics
NPI:1124239355
Name:JANJUA, RASHID MAZHAR (MD)
Entity type:Individual
Prefix:DR
First Name:RASHID
Middle Name:MAZHAR
Last Name:JANJUA
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:PO BOX 60447
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28260-0447
Mailing Address - Country:US
Mailing Address - Phone:336-765-6637
Mailing Address - Fax:336-765-6964
Practice Address - Street 1:185 KIMEL PARK DR
Practice Address - Street 2:STE 201
Practice Address - City:WINSTON SALEM
Practice Address - State:NC
Practice Address - Zip Code:27103-6973
Practice Address - Country:US
Practice Address - Phone:336-765-6637
Practice Address - Fax:336-765-6964
Is Sole Proprietor?:No
Enumeration Date:2007-05-28
Last Update Date:2023-01-11
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NC2010-02026207T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207T00000XAllopathic & Osteopathic PhysiciansNeurological Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
NCNCP470AMedicare PIN