Basic Information
Provider Information | |||||||||
NPI: | 1235418831 | ||||||||
EntityType: | 1 | ||||||||
ReplacementNPI: |   | ||||||||
OrganizationName: |   | ||||||||
LastName: | RAHEEM | ||||||||
FirstName: | ASMA | ||||||||
MiddleName: | SADIQ | ||||||||
NamePrefix: | DR. | ||||||||
NameSuffix: |   | ||||||||
Credential: | M.D. | ||||||||
OtherOrganizationName: |   | ||||||||
OtherOrganizationType: |   | ||||||||
OtherLastName: | SADIQ | ||||||||
OtherFirstName: | ASMA | ||||||||
OtherMiddleName: |   | ||||||||
OtherNamePrefix: | DR. | ||||||||
OtherNameSuffix: |   | ||||||||
OtherCredential: | M.D. | ||||||||
OtherLastNameType: | 1 | ||||||||
Mailing Information | |||||||||
Address1: | 3000 ARLINGTON AVE | ||||||||
Address2: | GRADUATE MEDICAL EDUCATION, MS 1050 | ||||||||
City: | TOLEDO | ||||||||
State: | OH | ||||||||
PostalCode: | 436142595 | ||||||||
CountryCode: | US | ||||||||
TelephoneNumber: | 4193834244 | ||||||||
FaxNumber: | 4193833108 | ||||||||
Practice Location | |||||||||
Address1: | 3476 S UNIVERSITY DR | ||||||||
Address2: |   | ||||||||
City: | DAVIE | ||||||||
State: | FL | ||||||||
PostalCode: | 333282000 | ||||||||
CountryCode: | US | ||||||||
TelephoneNumber: | 9544754400 | ||||||||
FaxNumber: |   | ||||||||
Other Information | |||||||||
ProviderEnumerationDate: | 08/12/2011 | ||||||||
LastUpdateDate: | 11/22/2021 | ||||||||
NPIDeactivationReasonCode: |   | ||||||||
NPIDeactivationDate: |   | ||||||||
NPIReactivationDate: |   | ||||||||
ProviderGenderCode: | F | ||||||||
AuthorizedOfficialLastName: |   | ||||||||
AuthorizedOfficialFirstName: |   | ||||||||
AuthorizedOfficialMiddleName: |   | ||||||||
AuthorizedOfficialTitleorPosition: |   | ||||||||
AuthorizedOfficialTelephone: |   | ||||||||
IsSoleProprietor: | N | ||||||||
IsOrganizationSubpart: |   | ||||||||
ParentOrganizationLBN: |   | ||||||||
AuthorizedOfficialNamePrefix: |   | ||||||||
AuthorizedOfficialNameSuffix: |   | ||||||||
AuthorizedOfficialCredential: |   | ||||||||
NPICertificationDate: | 11/22/2021 |
Taxonomy Information
Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207L00000X | ME130082 | FL | Y |   | Allopathic & Osteopathic Physicians | Anesthesiology |   |
No ID Information.