Provider Demographics
NPI:1528144177
Name:PERVEZ, RASHID (MD)
Entity type:Individual
Prefix:DR
First Name:RASHID
Middle Name:
Last Name:PERVEZ
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:616 OFFICE PKWY STE B
Mailing Address - Street 2:
Mailing Address - City:WESTERVILLE
Mailing Address - State:OH
Mailing Address - Zip Code:43082-6064
Mailing Address - Country:US
Mailing Address - Phone:419-524-7771
Mailing Address - Fax:419-524-7755
Practice Address - Street 1:616 OFFICE PKWY STE B
Practice Address - Street 2:
Practice Address - City:WESTERVILLE
Practice Address - State:OH
Practice Address - Zip Code:43082-6064
Practice Address - Country:US
Practice Address - Phone:614-899-0900
Practice Address - Fax:614-899-0901
Is Sole Proprietor?:No
Enumeration Date:2006-10-27
Last Update Date:2018-03-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH350708643P2084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH2214884Medicaid
OH260052363OtherMEDICARE RR
270477000OtherMAGELLAN
000000250237OtherANTHEM
03915OtherPARAMOUNT HEALTH CARE
000000250237OtherANTHEM
OHPE4096581Medicare ID - Type Unspecified