Provider Demographics
NPI:1942862685
Name:GHANI, RASHID EMAM
Entity type:Individual
Prefix:DR
First Name:RASHID
Middle Name:EMAM
Last Name:GHANI
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 1:11901 JAMAICA AVE
Mailing Address - Street 2:
Mailing Address - City:RICHMOND HILL
Mailing Address - State:NY
Mailing Address - Zip Code:11418-2597
Mailing Address - Country:US
Mailing Address - Phone:516-349-3091
Mailing Address - Fax:
Practice Address - Street 1:1 SHELART ST
Practice Address - Street 2:
Practice Address - City:PLAINVIEW
Practice Address - State:NY
Practice Address - Zip Code:11803-1420
Practice Address - Country:US
Practice Address - Phone:516-349-3091
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-07-02
Last Update Date:2019-07-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0333121835N0905X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835N0905XPharmacy Service ProvidersPharmacistNuclear
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY033312OtherNOT APPLICABLE