Provider Demographics
NPI:1487603403
Name:RASHEED, ABDUR (MD)
Entity type:Individual
Prefix:DR
First Name:ABDUR
Middle Name:
Last Name:RASHEED
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:37300 DEQUINDRE RD
Mailing Address - Street 2:SUITE 202
Mailing Address - City:STERLING HEIGHTS
Mailing Address - State:MI
Mailing Address - Zip Code:48310-3591
Mailing Address - Country:US
Mailing Address - Phone:586-939-6899
Mailing Address - Fax:586-349-6079
Practice Address - Street 1:37300 DEQUINDRE RD
Practice Address - Street 2:SUITE 202
Practice Address - City:STERLING HEIGHTS
Practice Address - State:MI
Practice Address - Zip Code:48310-3591
Practice Address - Country:US
Practice Address - Phone:586-939-6899
Practice Address - Fax:586-349-6079
Is Sole Proprietor?:No
Enumeration Date:2006-05-08
Last Update Date:2011-06-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI43010554792080N0001X, 208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
No2080N0001XAllopathic & Osteopathic PhysiciansPediatricsNeonatal-Perinatal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI4712133Medicaid
MI4918479Medicaid
MI4711280Medicaid
MI4918479Medicaid