Basic Information
Provider Information
NPI: 1871869982
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: RASHEED
FirstName: KHURRAM
MiddleName:  
NamePrefix: DR.
NameSuffix:  
Credential: M.D.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 95 HIGHLAND AVE STE 130
Address2:  
City: BETHLEHEM
State: PA
PostalCode: 180179483
CountryCode: US
TelephoneNumber: 6108681100
FaxNumber: 6108681111
Practice Location
Address1: 3735 NAZARETH RD STE 206
Address2:  
City: EASTON
State: PA
PostalCode: 180458346
CountryCode: US
TelephoneNumber: 4845038281
FaxNumber: 8338165612
Other Information
ProviderEnumerationDate: 03/23/2012
LastUpdateDate: 01/09/2020
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 01/09/2020

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
390200000X  N Student, Health CareStudent in an Organized Health Care Education/Training Program 
2086S0129XMD465297PAY Allopathic & Osteopathic PhysiciansSurgeryVascular Surgery

No ID Information.


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