# RASHIDUI ISLAM MD INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1891971362
- **Authorized official:** MRS. DANA LEE BROWN L.P.N. (OFFICE NURSE)
- **Authorized official phone:** (812) 347-2491

## Contact information

- **Practice address:** 1480 OLD STATE ROAD 64 NE, NEW SALISBURY, IN 47161-7726
- **Practice address phone:** (812) 347-2491
- **Practice address fax:** (812) 347-2938
- **Mailing address:** PO BOX 237, NEW SALISBURY, IN 47161-0237
- **Mailing address phone:** (812) 347-2491
- **Mailing address fax:** (812) 347-2938

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208600000X | Surgery Physician | — | IN | — |
| 208D00000X | General Practice Physician | — | IN | Yes |

## Other

- **Enumeration date:** 01/15/2008
- **Last updated:** 01/25/2008