Provider Demographics
NPI:1285492272
Name:RASHID, PRINCE KHIDHR ABDUL-HAKIM
Entity type:Individual
Prefix:
First Name:PRINCE KHIDHR
Middle Name:ABDUL-HAKIM
Last Name:RASHID
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3750 JAMISON ST NE APT 331
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20018-4464
Mailing Address - Country:US
Mailing Address - Phone:202-277-2905
Mailing Address - Fax:
Practice Address - Street 1:5201 HAYES ST NE APT 117
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20019-5535
Practice Address - Country:US
Practice Address - Phone:202-277-2905
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-03-13
Last Update Date:2024-03-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant