Provider Demographics
NPI:1154939866
Name:RASHAD, ASANA (PA)
Entity type:Individual
Prefix:
First Name:ASANA
Middle Name:
Last Name:RASHAD
Suffix:
Gender:
Credentials:PA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1 W BURNSIDE AVE
Mailing Address - Street 2:
Mailing Address - City:BRONX
Mailing Address - State:NY
Mailing Address - Zip Code:10453-4003
Mailing Address - Country:US
Mailing Address - Phone:973-641-6611
Mailing Address - Fax:507-607-8673
Practice Address - Street 1:1 W BURNSIDE AVE
Practice Address - Street 2:
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10453-4003
Practice Address - Country:US
Practice Address - Phone:973-641-6611
Practice Address - Fax:507-607-8673
Is Sole Proprietor?:No
Enumeration Date:2020-07-20
Last Update Date:2025-04-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY1154939866207PE0004X
NY025334363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant
No207PE0004XAllopathic & Osteopathic PhysiciansEmergency MedicineEmergency Medical Services