Provider Demographics
NPI:1306130232
Name:DOSSMAN, RASHIDA NAILA (PA-C)
Entity type:Individual
Prefix:
First Name:RASHIDA
Middle Name:NAILA
Last Name:DOSSMAN
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 2705
Mailing Address - Street 2:
Mailing Address - City:HUNTSVILLE
Mailing Address - State:AL
Mailing Address - Zip Code:35804-2705
Mailing Address - Country:US
Mailing Address - Phone:256-265-0095
Mailing Address - Fax:256-265-0098
Practice Address - Street 1:1863 SPARKMAN DRIVE NW
Practice Address - Street 2:
Practice Address - City:HUNTSVILLE
Practice Address - State:AL
Practice Address - Zip Code:35816
Practice Address - Country:US
Practice Address - Phone:256-265-0095
Practice Address - Fax:256-265-0098
Is Sole Proprietor?:No
Enumeration Date:2011-06-08
Last Update Date:2021-06-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPA18744363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant