Individual
RASHEED BAYA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
248 MCHENRY ST, BURLINGTON, WI 53105-1828
(262) 767-6100
(262) 767-8190
Mailing address
248 MCHENRY ST, BURLINGTON, WI 53105-1828
(262) 767-6100
(262) 767-8190
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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