Basic Information
Provider Information
NPI: 1891269858
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: AL-RASHID
FirstName: NOOR
MiddleName: FAYEZ
NamePrefix:  
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Credential:  
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Mailing Information
Address1: 900 ELKRIDGE LANDING RD FL 2
Address2:  
City: LINTHICUM
State: MD
PostalCode: 210902924
CountryCode: US
TelephoneNumber: 4434625010
FaxNumber:  
Practice Location
Address1: 301 HOSPITAL DR
Address2:  
City: GLEN BURNIE
State: MD
PostalCode: 210615803
CountryCode: US
TelephoneNumber: 4107874530
FaxNumber:  
Other Information
ProviderEnumerationDate: 01/14/2019
LastUpdateDate: 03/28/2022
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
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IsSoleProprietor: N
IsOrganizationSubpart:  
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AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 03/28/2022

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
363A00000XPA9113475FLN Physician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant 
363A00000XC08365MDY Physician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant 

No ID Information.


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