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Individual

DR. IMRAN RASHID

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
3300 DAIRY RD, TITUSVILLE, FL 32796-1512
(321) 269-6530
(321) 269-2334
Mailing address
3300 DAIRY RD, TITUSVILLE, FL 32796-1512
(321) 269-6530
(321) 269-2334

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
ME83730
FL
207R00000X
Internal Medicine Physician
ME83730
FL
207RN0300X
Nephrology Physician
Primary
ME83730
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
06443
BCBS FL
FL
05
263892400
FL
01
593392581
CORPORATE TAX ID
FL
Enumeration date
05/31/2005
Last updated
02/24/2011
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