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Individual

RAO RASHID MUSHTAQ

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
9451 HURON ST, THORNTON, CO 80260-5426
(303) 650-4042
Mailing address
1400 JACKSON ST, DENVER, CO 80206-2761
(303) 388-4461

Taxonomy

Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
64449
CO
207RX0202X
Medical Oncology Physician
64449
CO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1D2478
MEDICARE PTAN
CO
Enumeration date
12/07/2010
Last updated
11/18/2020
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