Provider Demographics
NPI:1033510730
Name:RASHEED, RAUF
Entity type:Individual
Prefix:
First Name:RAUF
Middle Name:
Last Name:RASHEED
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:49925 UPTOWN AVE
Mailing Address - Street 2:APT 204
Mailing Address - City:CANTON
Mailing Address - State:MI
Mailing Address - Zip Code:48187-5655
Mailing Address - Country:US
Mailing Address - Phone:313-586-2744
Mailing Address - Fax:
Practice Address - Street 1:49925 UPTOWN AVE
Practice Address - Street 2:APT 204
Practice Address - City:CANTON
Practice Address - State:MI
Practice Address - Zip Code:48187-5655
Practice Address - Country:US
Practice Address - Phone:313-586-2744
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-09-12
Last Update Date:2014-09-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4703102095164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse