Provider Demographics
NPI:1588764047
Name:RASHID, AHSAN (MD)
Entity type:Individual
Prefix:
First Name:AHSAN
Middle Name:
Last Name:RASHID
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:113 WATERWORKS WAY STE 250
Mailing Address - Street 2:
Mailing Address - City:IRVINE
Mailing Address - State:CA
Mailing Address - Zip Code:92618-3169
Mailing Address - Country:US
Mailing Address - Phone:949-753-1522
Mailing Address - Fax:949-753-6075
Practice Address - Street 1:113 WATERWORKS WAY
Practice Address - Street 2:STE 250
Practice Address - City:IRVINE
Practice Address - State:CA
Practice Address - Zip Code:92618-3169
Practice Address - Country:US
Practice Address - Phone:949-753-1522
Practice Address - Fax:949-753-6075
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-25
Last Update Date:2024-02-07
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CAA48233207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAE90062Medicare UPIN