Individual
SHAFAQ RASHID
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
MEDICAL CENTER BLVD, WINSTON SALEM, NC 27157-0001
(336) 713-5440
Mailing address
MEDICAL CENTER BLVD, WINSTON SALEM, NC 27157-0001
(336) 716-2011
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
0010-04812
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1073937504
TRICARE
NC
05
—
1073937504
—
NC
01
—
18698
BCBS
NC
01
—
282032
MEDCOST
NC
01
—
4178242
AETNA
NC
01
—
5115834
UNITED HEALTHCARE
NC
Enumeration date
02/04/2014
Last updated
04/17/2015
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