Provider Demographics
NPI:1245023043
Name:RASHEED, MARIAM BASIM (DMD)
Entity type:Individual
Prefix:
First Name:MARIAM
Middle Name:BASIM
Last Name:RASHEED
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3249 E CARLA VISTA DR
Mailing Address - Street 2:
Mailing Address - City:GILBERT
Mailing Address - State:AZ
Mailing Address - Zip Code:85295-3425
Mailing Address - Country:US
Mailing Address - Phone:480-823-8340
Mailing Address - Fax:
Practice Address - Street 1:13828 W GREENWAY RD
Practice Address - Street 2:
Practice Address - City:SURPRISE
Practice Address - State:AZ
Practice Address - Zip Code:85374-5293
Practice Address - Country:US
Practice Address - Phone:623-323-1555
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-05-24
Last Update Date:2025-05-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZD0124881223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice