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Individual
RASHEED BAYA
Active
Individual
RASHEED BAYA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
67607
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036136055
—
IL
05
—
100068921
—
WI
01
—
F400242120
MEDICARE PTAN
IL
Enumeration date
04/14/2011
Last updated
07/21/2022
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