Provider Demographics
NPI:1184882920
Name:SHAMSID-DEEN, RASHEEDAH
Entity type:Individual
Prefix:
First Name:RASHEEDAH
Middle Name:
Last Name:SHAMSID-DEEN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11303 WILSHIRE BLVD
Mailing Address - Street 2:BLDG 116
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90025-5069
Mailing Address - Country:US
Mailing Address - Phone:310-914-4045
Mailing Address - Fax:310-914-5495
Practice Address - Street 1:11303 WILSHIRE BLVD
Practice Address - Street 2:BLDG 116
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90073-1003
Practice Address - Country:US
Practice Address - Phone:310-914-4045
Practice Address - Fax:310-914-5495
Is Sole Proprietor?:Yes
Enumeration Date:2008-05-29
Last Update Date:2008-05-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management