Provider Demographics
NPI:1861473209
Name:RASHEED, SHABANA (MD)
Entity type:Individual
Prefix:DR
First Name:SHABANA
Middle Name:
Last Name:RASHEED
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:24060 W 9 MILE RD
Mailing Address - Street 2:
Mailing Address - City:SOUTHFIELD
Mailing Address - State:MI
Mailing Address - Zip Code:48033-3904
Mailing Address - Country:US
Mailing Address - Phone:313-443-6027
Mailing Address - Fax:248-356-4940
Practice Address - Street 1:24060 W 9 MILE RD
Practice Address - Street 2:
Practice Address - City:SOUTHFIELD
Practice Address - State:MI
Practice Address - Zip Code:48033-3904
Practice Address - Country:US
Practice Address - Phone:248-356-5900
Practice Address - Fax:248-356-4940
Is Sole Proprietor?:Yes
Enumeration Date:2005-11-11
Last Update Date:2023-10-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4301064947207R00000X
MI4301364947207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI017019OtherMIDWEST HEALTH PLAN
MI11362OtherMOLINA
MI122007OtherGREAT LAKES
MI1861473209Medicaid
MI4578125-10Medicaid
MI6241OtherTOTAL HEALTH
MI1108231391OtherBCBS
MIP00207737OtherRAILROAD MEDICARE
MIG64166OtherHAP
MI0N86980001Medicare PIN
MI6241OtherTOTAL HEALTH