Provider Demographics
NPI:1144906959
Name:RASHMI, FNU
Entity type:Individual
Prefix:MS
First Name:FNU
Middle Name:
Last Name:RASHMI
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2101 N WATERMAN AVENUE
Mailing Address - Street 2:DIGNITY HEALTH ST BERNARDINE MEDICAL CENTER
Mailing Address - City:SAN BERNARDINO
Mailing Address - State:CA
Mailing Address - Zip Code:92404
Mailing Address - Country:US
Mailing Address - Phone:859-494-1920
Mailing Address - Fax:
Practice Address - Street 1:2101 N. WATERMAN AVE.
Practice Address - Street 2:SAN BERNADINE HOSPITAL
Practice Address - City:SAN BERNADINO
Practice Address - State:CA
Practice Address - Zip Code:92404
Practice Address - Country:US
Practice Address - Phone:909-583-4970
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-06-26
Last Update Date:2024-06-18
Deactivation Date:2024-02-02
Deactivation Code:
Reactivation Date:2024-06-04
Provider Licenses
StateLicense IDTaxonomies
390200000X
CA14272207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program