Individual
RASHED E DURGHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3601 W 13 MILE RD, ROYAL OAK, MI 48073-6712
(248) 898-5000
Mailing address
26901 BEAUMONT BLVD STE 3D, SOUTHFIELD, MI 48033-3849
(947) 522-0688
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
234646
MA
2080P0203X
Pediatric Critical Care Medicine Physician
Primary
234646
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000196765
ANTHEM
OH
01
—
000000221435
UNISON
OH
01
—
000000525916
ANTHEM
OH
05
—
0354843
—
OH
01
—
5595196
AETNA
OH
Enumeration date
07/16/2006
Last updated
06/16/2023
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