Provider Demographics
NPI:1528159720
Name:RASHID, HUMAYUN (MD)
Entity type:Individual
Prefix:
First Name:HUMAYUN
Middle Name:
Last Name:RASHID
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 1:3514 MERMAID AVE STE 1
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11224-1510
Mailing Address - Country:US
Mailing Address - Phone:718-266-3413
Mailing Address - Fax:718-714-9360
Practice Address - Street 1:3514 MERMAID AVE STE 1
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11224-1510
Practice Address - Country:US
Practice Address - Phone:718-266-3413
Practice Address - Fax:718-714-9360
Is Sole Proprietor?:No
Enumeration Date:2006-09-27
Last Update Date:2023-09-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY139307207R00000X, 207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY61262Medicaid
NY00832595Medicaid
0061262OtherGHI
NY00832595Medicaid
NY61262Medicaid