Provider Demographics
NPI:1932204518
Name:RASHDAN, MOHSEN ABDELAL (MD, FACC)
Entity type:Individual
Prefix:DR
First Name:MOHSEN
Middle Name:ABDELAL
Last Name:RASHDAN
Suffix:
Gender:M
Credentials:MD, FACC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1000 NW 9TH CT
Mailing Address - Street 2:SUITE 105
Mailing Address - City:BOCA RATON
Mailing Address - State:FL
Mailing Address - Zip Code:33486-2268
Mailing Address - Country:US
Mailing Address - Phone:561-347-0100
Mailing Address - Fax:561-347-7296
Practice Address - Street 1:1000 NW 9TH CT
Practice Address - Street 2:SUITE 105
Practice Address - City:BOCA RATON
Practice Address - State:FL
Practice Address - Zip Code:33486-2268
Practice Address - Country:US
Practice Address - Phone:561-347-0100
Practice Address - Fax:561-347-7296
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-14
Last Update Date:2021-08-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME0046554207RC0000X, 174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist
No207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL045860100Medicaid
FLD86130Medicare UPIN
FL614337Medicare ID - Type Unspecified