Provider Demographics
NPI:1760448468
Name:RASHEED, MAMOON A (MD)
Entity type:Individual
Prefix:DR
First Name:MAMOON
Middle Name:A
Last Name:RASHEED
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:828 W MAIN ST
Mailing Address - Street 2:
Mailing Address - City:MT PLEASANT
Mailing Address - State:PA
Mailing Address - Zip Code:15666-1730
Mailing Address - Country:US
Mailing Address - Phone:724-547-4441
Mailing Address - Fax:724-547-4311
Practice Address - Street 1:30 HEMPSTEAD AVENUE
Practice Address - Street 2:SUITE 144
Practice Address - City:ROCKVILLE CENTRE
Practice Address - State:NY
Practice Address - Zip Code:11570
Practice Address - Country:US
Practice Address - Phone:516-490-9060
Practice Address - Fax:516-200-3020
Is Sole Proprietor?:No
Enumeration Date:2006-04-22
Last Update Date:2025-12-09
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
PAMD055855L207R00000X
NY307641207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA0015601090005Medicaid
PA0015601090005Medicaid
PAG08052Medicare UPIN