Provider Demographics
NPI:1982422366
Name:RASHAD, FATIMAH (DOULA)
Entity type:Individual
Prefix:
First Name:FATIMAH
Middle Name:
Last Name:RASHAD
Suffix:
Gender:F
Credentials:DOULA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:136 PURITAN ST
Mailing Address - Street 2:
Mailing Address - City:HIGHLAND PARK
Mailing Address - State:MI
Mailing Address - Zip Code:48203-2731
Mailing Address - Country:US
Mailing Address - Phone:313-632-1607
Mailing Address - Fax:
Practice Address - Street 1:136 PURITAN ST
Practice Address - Street 2:
Practice Address - City:HIGHLAND PARK
Practice Address - State:MI
Practice Address - Zip Code:48203-2731
Practice Address - Country:US
Practice Address - Phone:313-632-1607
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-10-02
Last Update Date:2024-10-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MIR230244298447374J00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula