Provider Demographics
NPI:1366204448
Name:AZEEZ, RASHEEDAT T
Entity type:Individual
Prefix:
First Name:RASHEEDAT
Middle Name:T
Last Name:AZEEZ
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 1:14821 ASHFORD PL
Mailing Address - Street 2:
Mailing Address - City:LAUREL
Mailing Address - State:MD
Mailing Address - Zip Code:20707-3771
Mailing Address - Country:US
Mailing Address - Phone:240-650-1762
Mailing Address - Fax:
Practice Address - Street 1:14821 ASHFORD PL
Practice Address - Street 2:
Practice Address - City:LAUREL
Practice Address - State:MD
Practice Address - Zip Code:20707-3771
Practice Address - Country:US
Practice Address - Phone:240-650-1762
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-01-25
Last Update Date:2024-01-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator