Basic Information
| Provider Information | |||||||||
| NPI: | 1376608620 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | ABASSI | ||||||||
| FirstName: | RASHEED | ||||||||
| MiddleName: | ADEDAPO | ||||||||
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| Credential: | M.D. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 9135 PISCATAWAY RD | ||||||||
| Address2: | SUITE 210 | ||||||||
| City: | CLINTON | ||||||||
| State: | MD | ||||||||
| PostalCode: | 207352549 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3018682555 | ||||||||
| FaxNumber: | 3018682933 | ||||||||
| Practice Location | |||||||||
| Address1: | 9135 PISCATAWAY RD | ||||||||
| Address2: | SUITE 210 | ||||||||
| City: | CLINTON | ||||||||
| State: | MD | ||||||||
| PostalCode: | 207352549 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3018681380 | ||||||||
| FaxNumber: | 3048684514 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 12/27/2006 | ||||||||
| LastUpdateDate: | 04/08/2013 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | Y | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207R00000X | D65329 | MD | Y | Allopathic & Osteopathic Physicians | Internal Medicine |
ID Information
| ID | Type | State | Issuer | Description | 051031901 | 05 | MD | MEDICAID | 898864-01 | 01 | MD | BLUE CROSS/BLUE SHIELD | OTHER | S062-0165 | 01 | MD | BC/BS REGIONAL | OTHER |