Provider Demographics
NPI:1588872543
Name:ABU RASHEED, HADI (MD)
Entity type:Individual
Prefix:
First Name:HADI
Middle Name:
Last Name:ABU RASHEED
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:PO BOX 182
Mailing Address - Street 2:1060 GRAND AVE
Mailing Address - City:BEATTYVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:41311-0000
Mailing Address - Country:US
Mailing Address - Phone:606-464-0108
Mailing Address - Fax:606-464-0907
Practice Address - Street 1:1060 GRAND AVE
Practice Address - Street 2:
Practice Address - City:BEATTYVILLE
Practice Address - State:KY
Practice Address - Zip Code:41311-0000
Practice Address - Country:US
Practice Address - Phone:606-464-0108
Practice Address - Fax:606-464-0907
Is Sole Proprietor?:No
Enumeration Date:2007-05-21
Last Update Date:2012-02-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY43352208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY7100145390Medicaid
KY7100145390Medicaid