Provider Demographics
NPI:1801100748
Name:RASHID ZIA, M.D., PC
Entity type:Organization
Organization Name:RASHID ZIA, M.D., PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:PAMELA
Authorized Official - Middle Name:
Authorized Official - Last Name:ISLAND
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:314-291-2500
Mailing Address - Street 1:3466 BRIDGELAND DR
Mailing Address - Street 2:STE 150
Mailing Address - City:BRIDGETON
Mailing Address - State:MO
Mailing Address - Zip Code:63044-2606
Mailing Address - Country:US
Mailing Address - Phone:314-291-2500
Mailing Address - Fax:314-291-2687
Practice Address - Street 1:3466 BRIDGELAND DR
Practice Address - Street 2:STE. 150
Practice Address - City:BRIDGETON
Practice Address - State:MO
Practice Address - Zip Code:63044-2606
Practice Address - Country:US
Practice Address - Phone:314-291-2500
Practice Address - Fax:314-291-2687
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-08-03
Last Update Date:2010-08-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MOR92702084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MO201864436Medicaid
MO201864436Medicaid